A newly admitted client diagnosed with paranoid schizophrenia is hypervigilant and constantly
scans the environment. He states that he saw two doctors talking in the hall and knows they were
plotting to kill him.
The nurse may correctly assess this behavior as
a. an idea of reference.
b. a delusion of infidelity.
c. an auditory hallucination.
d. echolalia.
A
Ideas of reference are misinterpretations of the verbalizations or actions of others that give special
personal meanings to these behaviors; for example, seeing two people talking, the individual
assumes they are talking about him or her. The other behaviors do not correspond with the scenario.
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