The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

"Those voices keep telling me that I need to get a knife and cut myself."

"Can you hear those children singing in the room with us?"

"I keep smelling feces in the room, and I can't get the odor out of my nose."

"I keep tasting things that are foul like onions and garlic, but I don't eat those."

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement clearly indicates the presence of auditory hallucinations, which are a common symptom of schizophrenia.
Choice B reason: While this could suggest auditory hallucinations, it could also be a question about shared experience and not necessarily indicative of a hallucination.
Choice C reason: Smelling feces where there is none could indicate an olfactory hallucination, which is less common than auditory hallucinations in schizophrenia.
Choice D reason: Tasting foul substances that are not present could suggest gustatory hallucinations, which, like olfactory hallucinations, are less common in schizophrenia.

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Correct Answer is B

Explanation

Choice A reason: While it's important to provide support, simply telling the client they have nothing to be ashamed of does not address the underlying issues or feelings the client may be experiencing.

Choice B reason: This response opens a dialogue and allows the client to share their experiences and challenges since the last admission, fostering a therapeutic relationship and understanding.

Choice C reason: This statement could be perceived as judgmental and may make the client feel worse, potentially hindering the therapeutic relationship.

Choice D reason: Asking why they started drinking again could come across as accusatory and may cause the client to become defensive or feel guilty, which is not conducive to recovery.

A. Separate personalities B. Mood swings and hostility C. Preoccupation with somatic symptoms D. Thought disturbances and hallucinations

Correct Answer is D

Explanation

Choice A reason: Separate personalities are not a characteristic of schizophrenia; this is a common misconception. The disorder involving separate personalities is more accurately associated with dissociative identity disorder.

Choice B reason: While mood swings and hostility can occur in schizophrenia, they are not defining features of the disorder. Schizophrenia is primarily characterized by psychosis, which includes delusions and hallucinations.

Choice C reason: Preoccupation with somatic symptoms is more commonly associated with somatic symptom disorder, not schizophrenia. Schizophrenia involves a range of symptoms including cognitive and emotional dysfunctions.

Choice D reason: Thought disturbances, such as disorganized thinking, and hallucinations, particularly auditory ones, are hallmark symptoms of schizophrenia and are often used in its assessment.

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The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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