Question

A nurse is assessing a client who has bipolar disorder. Which of the following alterations in speech is the client using?

a. Echolalia
b. Clang association
c. Flight of ideas
d. Neologism

Answer 1

In the context of bipolar disorder, alterations in speech such as echolalia, clang association, flight of ideas, and neologism can occur. These alterations reflect different patterns that can be observed during speech assessment of a client with a psychiatric condition.

Step-by-step explanation:

The question pertains to the assessment of a client with bipolar disorder and focuses on identifying which type of alteration in speech the client is exhibiting. Among the listed options:

• Echolalia is the repetition of another person's spoken words.
• Clang association refers to speech guided by the sound of a word rather than its meaning, often resulting in rhyming or alliteration.
• Flight of ideas is characterized by a rapid shift from one topic to another, often based on discernible associations, distractions, or play on words.
• Neologism involves creating new, often nonsensical words, and is indicative of an impairment in linguistic processing.

Each of these is a possible speech alteration that could be seen in individuals with psychiatric conditions, including bipolar disorder.