A hospitalized client sees snakes on the walls of the hospital room and becomes anxious. This is an example of which of the following?
hallucinations
Delirium
Delusion
Psychosis
The Correct Answer is A
A: Hallucinations involve perceiving something that isn't actually there, such as seeing snakes on the walls.
B: Delirium is a rapid onset of confusion typically resulting from a physical or mental illness but is not specific to hallucinations.
C: Delusions are false beliefs held despite evidence to the contrary.
D: Psychosis can involve hallucinations but is a broader term that encompasses severe mental disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A: This is coercive and inappropriate, potentially causing distress.
B: This does not address the client’s expressed feelings of fatigue and could feel dismissive.
C: This supportive approach helps the client engage in activity at her own pace, promoting participation without coercion.
D: This encourages avoidance, which may further reinforce depressive behaviors and social withdrawal.
Correct Answer is A
Explanation
A: Goals must be relevant and important to the client to encourage engagement and commitment to the therapeutic process.
B: While regular evaluations are essential, they must align with the individual’s progress and specific needs rather than a set schedule.
C: Goals should indeed be achievable, but tying them strictly to discharge may not accommodate ongoing or long-term needs.
D: While physician input can be valuable, goals should be client-centered and driven by nursing assessments and the therapeutic plan.
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