Practice Question
A nurse on an inpatient mental health unit is assessing a client.
Answer Choices:
Correct Answer:
Delusions
Rationale:
🔷Delusions are false fixed beliefs that are not based in reality, such as the client believing the FBI is calling or that they are a "highly ranked military officer."
🔷This represents a distortion of thought content, which is classified as a positive symptom because it is an addition to normal functioning.
🔷Delusions interfere with the client’s ability to accurately interpret reality, making them a hallmark positive symptom of schizophrenia.
🔷 Hallucinations are false sensory perceptions, such as hearing, seeing, or feeling something that is not actually present.
🔷In the scenario, the client reports that the FBI is calling to warn them, which may suggest auditory hallucinations.
🔷Hallucinations are also classified as positive symptoms, as they represent an excess or distortion of normal sensory perception.
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This question is from RN Mental Health 2023 B which contains 65 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 6