A 16-year-old client diagnosed with schizophrenia spectrum disorder experiences command hallucinations to harm others. The client's parents ask a nurse, "Where do the voices come from?" Which is the appropriate nursing response?
1. "Your child has a chemical imbalance of the brain, which leads to altered perceptions."
2. "Your child's hallucinations are caused by medication interactions."
3. "Your child has too little serotonin in the brain, causing delusions and hallucinations."
4. "Your child's abnormal hormonal changes have precipitated auditory hallucinations."
1
Rationale: The nurse should explain that a chemical imbalance of the brain leads to altered perceptions. Hallucinations, or false sensory perceptions, may occur in all five senses. The client hearing voices is experiencing an auditory hallucination.
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