A client who is receiving a narcotic analgesic for pain sees shadows from the Venetian blinds and tells the nurse there are snakes on the wall. The nurse knows this client is experiencing a(n):
a. hallucination. c. disturbance in affect.
b. illusion. d. disturbance in judgment.
ANS: B
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A nurse is assessing the pain of a client who is in hospice. Which of the following is the most reliable indicator of pain?
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