HESI NCLEX - MOD 4 - PSYCHOSOCIAL ALTERATIONS LATEST FINAL EXAM UPDATED FOR -2026 ACTUAL QUESTIONS WITH 100% CERTIFIED, ELABORATED & VERIFIED SOLUTIONS TOP SCORE✓✓ ✓ACE YOUR EXAMS

HESI NCLEX - MOD 4 - PSYCHOSOCIAL ALTERATIONS LATEST FINAL EXAM UPDATED FOR -2026 ACTUAL QUESTIONS WITH 100% CERTIFIED, ELABORATED & VERIFIED SOLUTIONS TOP SCORE✓✓ ✓ACE YOUR EXAMS A schizophrenic client says, "I'm away for the day ... but don't think we should play ... or do we have feet of clay?" Which alteration in the client's speech does the nurse document? A Neologism B Word salad C Clang association D Associative looseness C Clang association Rationale: Clang association is the meaningless rhyming of words in which the rhyming is more important than the context of the words. A neologism is a made-up word that has meaning only to the client. Word salad is the term for a mixture of meaningless phrases, either to the client or to the listener. Associative looseness is a term used to describe schizophrenic speech in which connections and threads are interrupted or missing. A client with schizophrenia and his parents are meeting with the nurse. One of the young man's parents says to the nurse, "We were stunned when we learned that our son had schizophrenia. He was no different than from his older brother when they were growing up. Now he's had another relapse, and we can't understand why he stopped his medication." Which response by the nurse is appropriate? A Telling the parents, "Medication noncompliance is the most frequent reason that people with this diagnosis relapse." B Telling the parents, "Well, it's his decision to take his medicine, but it's yours to have him live with you if he stops the medication." C Asking the client, "How can we help you to take your medicine or to tell us when you're having problems so that your medication can be adjusted?" D Saying to the parents, "Your concerns are appropriate, but I wonder whether your son was having trouble telling someone that he had concerns about his medication." C Asking the client, "How can we help you to take your medicine or to tell us when you're having problems so that your medication can be adjusted?" Rationale: The therapeutic response is the one in which the nurse models speaking directly to the client. This facilitates further assessment of the situation and helps elicit the causes of and motivations for the client's behavior for both the nurse and the family. In the correct option, the nurse also seeks clarification of the degree of openness and mutuality felt by the client and his family toward each other. The nurse provides information to the family when stating that noncompliance is the most frequent reason for relapse in people with this diagnosis. However, the statement is nontherapeutic at this time because it does not facilitate the expression of feelings. The nurse uses a superego style of communication when stating, "Well, it's his decision to take his medicine, but it's yours to have him live with you if he stops the medication." The content of this statement may be true, but it is nontherapeutic in that it carries a threatening message and may prevent the family from trusting the nurse. By stating, "Your concerns are appropriate, but I wonder whether your son was having trouble telling someone that he had concerns about his medication," the nurse gives approval and prematurely analyzes the client's motivation without sufficient assessment. An acutely ill schizophrenic client says to the nurse, "He keeps saying that he likes you, and I keep telling him you're married, but he won't listen, and I think he's going to get fresh with you." Once the nurse has determined that the client is hallucinating, which response to the client would be most appropriate statement? A "Try not to listen to the voices right now so that I can talk with you." B "I think that you can help him stop his behavior if you concentrate." C "Tell him I said to mind his p's and q's or I'll call the police on him." D "I think that you're trying to share your own feelings toward me, but you're shy." A "Try not to listen to the voices right now so that I can talk with you."