Psychotic Disorders no. 4003

Psychotic Disorders no. 4003

QUESTION: A client tells the nurse that the television newscaster is sending a secret message to her. The nurse suspects the client is experiencing:

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

RATIONALE

RATIONALE: Ideas of reference refers to the mistaken belief that neutral stimuli have special meaning to the individual such as the television newscaster sending a message directly to the individual. A delusion is a false belief. Flight of ideas is a speech pattern in which the client skips from one unrelated subject to another. A hallucination is a sensory perception, such as hearing voices and seeing objects, that only the client experiences.
NURSING PROCESS STEP: Assessment
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Knowledge