A patient's nursing care plan includes assessment for auditory hallucinations. Indicators that suggest the patient may be hallucinating include:
a. aloofness, increased distractibility, and suspicion.
b. elevated mood, hypertalkativeness, and distractibility.
c. performing rituals and avoiding open places.
d. darting eyes, distracted, and mumbling to self.
D
Clues to hallucinations include eyes looking around the room as though to find the speaker, appearing preoccupied or distracted, and grimacing, mumbling, or talking aloud as though responding conversationally to someone. Mood changes, ritualistic behavior, and aloofness are not indicators of hallucinations.
You might also like to view...
The population health nurse suspects that a client has psychoactive substance dependence. Which assessment made the nurse most suspicious?
1. Decreased tolerance to the substance. 2. Lack of the characteristic withdrawal symptoms. 3. Decreased substance use to decrease withdrawal symptoms. 4. Increased time spent recovering from the effects.
In which activities would a nurse lobbyist engage?
1. Influencing a legislator to support certain legislation 2. Passive resistance 3. Political demonstrations 4. Running for office
Places to the right of the decimal point represent fractions
Indicate whether the statement is true or false
Research has shown that Asian men tend to have a greater sensitivity than white Europeans to codeine, and they experience significantly weaker effects from the drug. This is an example of cultural variations of:
a. Biological variations b. Space c. Social organization d. Time perception