DSSSB Public Health Nurse - 2015
Mental Health Nursing
Medium
'Handy-Dandy this is my work. I want to shop apple pie custard pie' this is an example of?
Appeared in: DSSSB Public Health Nurse - 2015
Explanation
- The provided sentence is a jumble of unrelated words and phrases, such as 'Handy-Dandy', 'my work', and 'shop apple pie custard pie'.
- This complete lack of logical connection between words results in an incoherent and unintelligible statement.
- This specific pattern of disorganized speech, where words are tossed together like ingredients in a salad, is known as word salad.
- It represents a severe level of thought disorganization.
Why Other Options Were Wrong
- Option A: Neologism is incorrect because the sentence uses existing English words, not newly invented ones. A neologism would be a made-up word like 'slork' or 'blornk'.
- Option C: Flight of ideas is incorrect because the shifts in topic within the sentence are completely random and lack even the superficial connections seen in flight of ideas. In flight of ideas, a listener can usually follow the (very fast) train of thought.
- Option D: Clang association is incorrect because the word choices are not based on rhyming or similar sounds. The words are chosen randomly, not for their phonetic similarity.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of thought process and speech pattern abnormalities as background academic context rather than a clinical decision trigger.
- Recognizing word salad is a critical nursing skill as it often indicates a severe underlying psychiatric condition, such as an acute psychotic episode in schizophrenia.
- Prompt identification allows for immediate intervention, ensuring patient safety and the initiation of appropriate psychiatric care.
- What if? If the sentence was 'I need to go to the store, the floor is dirty, I need a door to my room,' this would be a clang association, as the words are linked by sound (store, floor, door), not word salad.
How to Approach the Question
- First, carefully read the sentence provided in the question stem: 'Handy-Dandy this is my work. I want to shop apple pie custard pie'.
- Analyze the relationship between the words and phrases. Ask yourself: Is there a logical flow? Are the words newly invented? Are they connected by sound (rhyming)?
- Observe that the sentence is a collection of real words that are strung together in a way that makes no logical sense.
- Next, review the definitions of the four options provided.
- Compare your observation with the definitions. The definition of 'word salad' (a confused mixture of random words) perfectly matches the sentence.
- Systematically eliminate the other options. It is not neologism (no new words), not flight of ideas (no loose connections between ideas), and not clang association (no rhyming).
Concept Tested & Keywords
- Concept Tested: Identification of thought process and speech pattern abnormalities.
- Stem keywords: Handy-Dandy, work, shop apple pie custard pie
- Lead-in keywords: example of
- Negative lead-in flag: false
Question ID
Qo3OQZVWhA9VrVhU_hj2Al
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) pp. 3795-3797, 3247-3249
Practise the full DSSSB Public Health Nurse - 2015
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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