Psychotic Disorders no. 4002

Psychotic Disorders no. 4002

QUESTION: A client with schizophrenia hears a voice telling him he is evil and must die. The nurse understands that the client is experiencing:

✘O a.) a delusion.
✘O b.) flight of ideas.
✘O c.) ideas of reference.
✓O d.) a hallucination.

RATIONALE

RATIONALE: A hallucination is a sensory perception, such as hearing voices and seeing objects, that only the client experiences. A delusion is a false belief. Flight of ideas refers to a speech pattern in which the client skips from one unrelated subject to another. Ideas of reference refers to the mistaken belief that someone or something outside the client is controlling the client's ideas or behavior.
NURSING PROCESS STEP: Assessment
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Knowledge