A well-known client with a diagnosis of schizophrenia has been brought to the emergency department by police after causing a disturbance in a store
Which of the nurse's assessment questions would best identify whether the client has insight into his illness?
A) "Why do you think the police brought you here?"
B) "Do you think that you're sick?"
C) "Has anything like this happened to you before?"
D) "Do you ever hear voices or see things that other people do not see?"
Ans: B
Insight is defined as self-understanding about the origin, nature, and mechanisms of one's attitudes and behavior; it can often be ascertained by asking whether the client believes himself to be in need of treatment. Asking a client about hallucinations or previous encounters with the law or the medical system is less likely to reveal the client's presence or absence of insight.
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