Side note: I just wanted to mention that I take all of my patients and their conditions seriously. I am in no way trying to make fun of my patient here. When he said "naked woman," it would have been extremely awkward if we just stood there and didn’t say anything. He was shocked at the words that came out of his mouth, so laughing at it eased the tension and allowed all of us a break from the reality of the situation. In nursing, humor is a wonderful way to get through a lot of situations. When my patients burp or have some other embarrassing thing happen, they always immediately look at me for my reaction. When I smile and laugh a little and say, ‘Well excuse you!" they laugh too. Ignoring things like that can make the situation more uncomfortable than it needs to be. My patient has a long road ahead of him. But with the help of his family, and a bit of humor, I am sure he will get back on his feet again, and at least smile when they tease him for the “naked woman” incident.
And thank you Bill Thomas, RN, for explaining this situation – "Your patient was experienceing expressive aphasia when he had trouble naming objects. The message from his eyes, to brain and then to his speech center becomes blocked. He said "naked lady" because that noun was randomly spoken in place of the real answer. He knew what to say but was unable to "express" himself. Most of the time you can look at your patient’s facial expressions and see that they are perplexed at their own answer."