A nurse is collecting data for a client who has schizophrenia. The client states that he hears voices telling him to do "bad things." The nurse should recognize this finding as which of the following?
Automatic obedience
Gustatory hallucination
Negativism
Command hallucination
The Correct Answer is D
Choice A reason: Automatic obedience refers to a client automatically following instructions without resistance, not hearing voices.
Choice B reason: Gustatory hallucination involves false perceptions of taste, not auditory commands.
Choice C reason: Negativism is resistance to instructions or doing the opposite of what is asked, not hearing voices.
Choice D reason: Command hallucinations are auditory hallucinations where voices instruct the client to perform actions, often harmful. This is a dangerous symptom requiring immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Encouraging the client to argue with voices reinforces the hallucination and is not therapeutic.
Choice B reason: Telling the client the hallucination is not real helps orient them to reality while maintaining empathy. It acknowledges their experience without validating the hallucination.
Choice C reason: Acting as if the hallucination is real reinforces psychosis and is inappropriate.
Choice D reason: Asking direct questions about the hallucination can increase focus on the false perception, worsening symptoms.
Correct Answer is D
Explanation
Choice A reason: Increased energy can be an early sign of mania, but by itself it is not the most significant indicator. Many conditions can cause increased energy, so it is not specific enough to identify mania.
Choice B reason: Pleasure and motivation for new endeavors can be normal experiences and do not necessarily indicate mania. In mania, these feelings are excessive and paired with risky behaviors, but alone they are not the most significant indicator.
Choice C reason: Leaving a good job to start a new business may reflect impulsivity, but this is a behavioral consequence rather than a core symptom. It is not the most reliable indicator of mania.
Choice D reason: Decreased need for sleep and racing thoughts are hallmark symptoms of mania. Clients may sleep only a few hours yet feel rested, and their thoughts may be rapid and difficult to follow. These symptoms are the most significant indicators of mania.
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