The nurse listens to a client who spends time describing her delusion about being a great religious leader, because the nurse is assessing for which of the following?

Question

a. a clue for what rationale to use in challenging the delusion
b. the effect of the delusion on the client's judgment and responses
c. contents of the delusion that are real and need to be accepted
d. the client's beliefs about God

Answer 1

B
When the nurse listens to a client describing delusions of being a great religious leader, the nurse is assessing the effect of the delusion on the client's judgment and responses. The client's statement is an example of a delusion of grandeur. The nurse recognizes that delusions are false fixed ideas and therefore the contents are untrue and should not be accepted. The nurse would not challenge the delusion and recognize that it includes excess religiosity, which is characteristic of schizophrenia.