HomePMHNP Nurse Boards Prep 2026Question 3 of 10
PMHNP Nurse Boards Prep 2026Question 3 / 10

During a mental status exam, a PMHNP observes a patient with a history of schizophrenia speaking in a rhythmic pattern, using words that have similar sounds but lack meaning. What is the term used to describe this phenomenon?

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✓ Correct answer: B. Clang associations Clang associations, a symptom frequently seen in individuals with schizophrenia, refer to the use of words that are associated with similar sounds rather than their intended meaning. This can manifest as speaking in a rhyming pattern or using words that seemingly have no connection to the topic at hand. For instance, instead of saying "I feel okay, it's getting late, I'm going to have some dinner," a patient may say "I'm fine, it's time, I'll dine on a lime." Clang associations often indicate disordered thinking and can hinder effective communication. Echolalia involves the repetition of words or phrases that have been previously heard. Neologisms are newly created words or phrases that lack meaning to others. Word salad refers to a jumbled assortment of words and phrases that lack logical or meaningful connection

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