A client's nursing care plan includes assessment for auditory hallucinations. Indicators that suggest
the client may be hallucinating include
a. aloofness, haughtiness, and suspicion.
b. elevated mood, hyperactivity, and distractibility.
c. performing rituals and avoiding open places.
d. darting eyes, tilted head, and mumbling to self.
D
Clues to hallucinations include eyes looking around the room as though to find the speaker; tilting
the head to one side as though listening intently; and grimacing, mumbling, or talking aloud as
though responding conversationally to someone.
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