A patient tried to gouge out his eye in response to auditory hallucinations commanding, "If thine eye offends thee, pluck it out." The nurse would analyze this behavior as indi-cating:
a. Derealization
b. Inappropriate affect
c. Impaired impulse control
d. Inability to manage anger
ANS: C
Command hallucinations may be so intense that the patient cannot control the impulse to do what the hallucination tells him to do; thus the patient has impaired impulse control. This is not an anger management problem. Derealization is a feeling that the environment is distorted or unreal and not suggested in the scenario. No evidence of inappropriate affect is given.
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