A nurse is collecting data from a client who has schizophrenia.
Which of the following client statements indicates that the client is experiencing a command hallucination?

"Can you see these spiders crawling all over me?"

"The aliens are going to abduct me tonight.”.

"Are you planning to kill me?"

"The voices told me to quit eating the food here.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale

The statement "Can you see these spiders crawling all over me?" indicates a visual hallucination, not a command hallucination.

Choice B rationale

The statement "The aliens are going to abduct me tonight.”. reflects a delusional belief, not a command hallucination.

Choice C rationale

The statement "Are you planning to kill me?" suggests paranoia and suspicion, not a command hallucination.

Choice D rationale

The statement "The voices told me to quit eating the food here.”. is indicative of a command hallucination, where the client hears voices instructing them to take specific actions.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Cold extremities are a common finding in individuals with anorexia nervosa due to poor circulation and reduced body fat, which impairs the body's ability to maintain normal temperature.

Choice B rationale

Diarrhea is not typically associated with anorexia nervosa. Instead, individuals with this disorder often experience constipation due to restrictive eating and decreased bowel movements.

Choice C rationale

Tooth erosion is a common finding in individuals with anorexia nervosa, particularly those who engage in self-induced vomiting, as stomach acid erodes the enamel on teeth.

Choice D rationale

Lanugo, or fine, soft body hair, is a common finding in individuals with anorexia nervosa as the body attempts to conserve heat due to loss of insulating body fat.

A. You should drink a glass of wine 1 hour before you go to bed. B. You should eat a meal just prior to bedtime. C. You should take a nap after lunch. D. You should limit yourself to two caffeinated beverages per day.

Correct Answer is D

Explanation

Choice A rationale

Drinking alcohol before bed can disrupt sleep patterns and reduce overall sleep quality. While alcohol may initially induce drowsiness, it can lead to fragmented sleep, causing more awakenings during the night.

Choice B rationale

Eating a meal just before bedtime can cause discomfort and interfere with the ability to fall asleep. The body's digestion process can disrupt the onset of sleep and reduce sleep quality.

Choice C rationale

Taking a nap after lunch can interfere with the body's natural sleep-wake cycle, making it more difficult to fall asleep at night. Napping late in the day can reduce the need for sleep at bedtime.

Choice D rationale

Limiting caffeine intake to two beverages per day can promote better sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and stay asleep. Reducing caffeine consumption, especially in the afternoon and evening, can improve sleep quality.

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A nurse is collecting data from a client who has schizophrenia.Which of the following client statements indicates that the client is experiencing a command hallucination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has anorexia nervosa.Which of the following findings should the nurse expect?

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who has depression and reports only sleeping a few hours each night.Which of the following instructions should the nurse give the client to promote sleep?

Correct Answer is D

Explanation

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A nurse is collecting data from a client who has schizophrenia.
Which of the following client statements indicates that the client is experiencing a command hallucination?