PGIMS Rohtak NO - 2017
Mental Health Nursing
Easy

Coining of new words is known as?

Appeared in: PGIMS Rohtak NO - 2017

Explanation

  • Neologism is the psychiatric term for creating new words or phrases that have a unique meaning only to the person using them.
  • These words are often a combination of other words or are entirely new inventions.
  • It is considered a disorder of thought form, specifically related to speech and language.
  • This symptom is frequently associated with schizophrenia and other psychotic disorders, reflecting disorganized thinking.

Why Other Options Were Wrong

  • Option A: Mannerism refers to a disturbance in motor behavior, not speech. It involves peculiar, stereotyped, and goal-directed movements that appear odd to the observer.
  • Option C: A hallucination is a disorder of perception. It involves experiencing a sensory event (seeing, hearing, feeling something) in the absence of any external stimulus.
  • Option D: A delusion is a disorder of thought content. It is a fixed, false belief that is firmly held despite evidence to the contrary and is not shared by the person's culture.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Disorders of thought form, specifically neologism as background academic context rather than a clinical decision trigger.
  • In a Mental Status Examination (MSE), identifying and documenting neologisms is crucial for assessing a patient's thought process. It provides objective evidence of a formal thought disorder.
  • Nurses should record verbatim examples of neologisms (e.g., 'Patient stated they need to use the 'slumble' when referring to a telephone') to ensure accurate communication among the healthcare team.
  • What if the patient uses a real word but in a bizarre and private context (e.g., calling a fork a 'tree')? This is known as paraphasia or word approximation, a related but distinct speech disturbance also indicating thought disorganization.
How to Approach the Question
  • First, identify the key phrase in the question stem: 'coining of new words'.
  • This is a definition-based question, requiring you to recall the correct psychiatric term.
  • Evaluate each option based on its definition.
  • Mannerism relates to movement, Hallucination to perception, and Delusion to belief.
  • Recognize that 'Neologism' (from 'neo-' meaning new and 'logos' meaning word) directly translates to the concept of creating new words.
  • Select Neologism as the term that specifically describes the creation of new words.
Concept Tested & Keywords
  • Concept Tested: Disorders of thought form, specifically neologism.
  • Stem keywords: coining, new words
  • Lead-in keywords: known as

Question ID

Q47_AZ68fIZIVfORl0T_DN

Reference Book

E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 15410-15412

E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 3577-3579

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Attempt every question from this paper in a timed mock, then review the full solution for each one.