Registered Practical Nurse (RPN) Practice Test

What term describes the disorganized speech pattern in which a client says words in sequence with no connection?

1. Word salad

2. Neologism

3. Clang association

4. Echolalia

The correct answer is: Word salad

The term that describes the disorganized speech pattern where a client expresses words in a random sequence with no logical connection is known as "word salad." This term refers to a jumble of words that may include nouns, verbs, and adjectives thrown together without any coherent meaning, making it difficult for listeners to understand the intended message. It is often observed in individuals with certain psychiatric conditions, such as schizophrenia, where cognitive disorganization affects communication. In contrast, neologism refers to the creation of new words or phrases that may not be understandable to others. Clang association involves the use of words based on their sound rather than meaning, often resulting in a nonsensical connection between words. Echolalia is the repetition of phrases or sounds made by another person without apparent comprehension or intention. Understanding these distinctions helps clarify why "word salad" is the correct choice for describing disorganized speech without coherent connections.