The nurse is caring for a client with a history of schizophrenia. The nurse asks the client if he is ready to eat his lunch. The client responds, “Rain, train, down the drain, Jane’s brain.” The nurse recognizes this type of speech pattern as which type?

  1. echolalia
  2. word salad
  3. neologisms
  4. clang association
Number 4 is correct.
Rationale: Clang association often involves rhyming words. Echolalia speech is characterized by repeating the other person’s words or phrases repeatedly. Mimicry is a technique used to try and identify with the speaker. Word salad is a jumble of random, unrelated words that do not express a complete thought. Neologisms are made-up words that have meaning only to the speaker.