一位思覺失調症病人表現出「聲音聯想 (clang associations)」。下列哪項陳述反映了此行為？
A client with schizophrenia is exhibiting clang associations. Which statement by the client reflects this behavior?
- AThe cat, mat, hat, sat, fat.✓ 正解貓、墊子、帽子、坐、胖。
- BThey are talking about me, laughing at my blue shoes.他們在談論我，嘲笑我的藍色鞋子。
- CI am the King of the universe, and the stars follow my commands.我是宇宙之王，星星都聽從我的命令。
- DI went to the store to get more floor before the war reached the core.我在戰爭波及核心之前去商店買更多地板。
聲音聯想（Clang associations）是思覺失調症（Schizophrenia）中常見的正式思考障礙（Formal thought disorder）。其核心特徵是個案的言談受到字音（Rhyme）或節奏的驅動，而非邏輯或語意連結。在 NCLEX 考試中，辨識這種言語模式有助於評估精神狀態的穩定性。正確答案 A 呈現了一連串押韻詞彙，顯示個案的思考過程已失去邏輯連貫性，轉而受到語音相似性的控制，這是臨床上評估思考過程（Thought process）異常的重要指標。
Clang associations are a common formal thought disorder in schizophrenia. The core feature is speech driven by sound (rhyme) or rhythm rather than logic or meaning. On the NCLEX, recognizing this speech pattern helps assess the stability of a client's mental status. The correct answer A presents a series of rhyming words, demonstrating that the client's thought process has lost logical coherence and is instead controlled by phonetic similarity—an important clinical indicator of abnormal thought process.