The nurse understands that when a client is talking about the voices in his head, the client is experiencing:

A) a delusion.
B) a hallucination.
C) an illusion.
D) confusion.


Ans: B
Feedback:
Hallucinations, sensory impressions that are based on internal stimulations, have no basis in reality. Hearing voices when no one is there is a typical auditory hallucination. Delusions are fixed beliefs, not based in reality. Illusions are misperceptions of actual stimuli.

Nursing

You might also like to view...

Which major situational occurrences might lead to amputations? (Select all that apply.)

a. Trauma b. Disease c. Tumors d. Congenital defects e. Carelessness

Nursing

You are caring for a 49-year-old mother of three teenagers

Your patient has been diagnosed with pancreatic cancer that has already spread throughout her body. The patient tells you that her family is already experiencing difficulties because her husband has lost his job and her sister's family has been staying with them for a month since losing their home in a fire. As the nurse, what do you know about family participation in this patient's current health situation? A) The family's stability lies in its numbers. B) The person who will participate most in the current health situation is the patient's sister. C) The loss of the husband's job does not impact the current health situation. D) The family may require additional assistance before they can become involved in the current health situation.

Nursing

A patient with seizures is being monitored to determine if the seizure activity was present at birth or has been slowly developing. For which classifications of diseases is this patient's seizure activity being evaluated?

1. congenital versus chronic 2. acute versus chronic 3. communicable versus functional 4. idiopathic versus iatrogenic

Nursing

A nurse on rounds observes that a client has been eating food rather hastily. Based on this information the nurse knows that what structure of the respiratory system prevents foreign matter from entering the lower respiratory system?

A) Trachea B) Esophagus C) Epiglottis D) Pharynx

Nursing