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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Trying to fix the problem may not be helpful as OCD is a chronic condition that requires professional treatment.
Choice B reason: It is unrealistic to expect that a client with OCD will not have any compulsions at all.
Choice C reason: Patience is key in supporting a family member with OCD as they work through their treatment.
Choice D reason: Reminding the client to not perform rituals can increase anxiety and is not a recommended approach.
Correct Answer is C
Explanation
Choice A reason: While education is important, it is not the priority for a client with significantly progressed dementia, as their ability to learn new information is likely impaired.
Choice B reason: Support is crucial for clients with dementia, but it is not the immediate priority in the context of safety concerns.
Choice C reason: This is the correct choice. Safety is the priority for clients with significantly progressed dementia due to increased risk of harm from confusion, wandering, and other behaviors.
Choice D reason: Cognitive interventions may be part of the treatment plan, but they are not the priority when compared to ensuring the client's safety.
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