A nurse is collecting data from a client who has schizophrenia.
Which of the following client statements indicates that the client is experiencing a command hallucination?
"Can you see these spiders crawling all over me?"
"The aliens are going to abduct me tonight.”.
"Are you planning to kill me?"
"The voices told me to quit eating the food here.”.
The Correct Answer is D
Choice A rationale
The statement "Can you see these spiders crawling all over me?" indicates a visual hallucination, not a command hallucination.
Choice B rationale
The statement "The aliens are going to abduct me tonight.”. reflects a delusional belief, not a command hallucination.
Choice C rationale
The statement "Are you planning to kill me?" suggests paranoia and suspicion, not a command hallucination.
Choice D rationale
The statement "The voices told me to quit eating the food here.”. is indicative of a command hallucination, where the client hears voices instructing them to take specific actions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Withdrawn behaviors are not typically associated with antisocial personality disorder, which usually involves more outwardly aggressive and manipulative behaviors.
Choice B rationale
Blunted affect is more commonly associated with conditions like schizophrenia or depressive disorders, rather than antisocial personality disorder.
Choice C rationale
Excessively anxious behavior is more characteristic of anxiety disorders, not antisocial personality disorder, which often involves a lack of anxiety and remorse.
Choice D rationale
Exploitive of others is a key characteristic of antisocial personality disorder, as individuals often disregard the rights of others and manipulate them for personal gain.
Correct Answer is B
Explanation
Choice A rationale
Bulimia nervosa primarily affects the gastrointestinal system, dental health, and electrolyte balance. While there are health risks, diabetes mellitus is not directly associated with bulimia nervosa.
Choice B rationale
Individuals with bulimia nervosa often maintain an average or ideal body weight, which makes the disorder less visible compared to anorexia nervosa.
Choice C rationale
Bulimia nervosa is characterized by episodes of binge eating followed by compensatory behaviors such as vomiting, not by average food consumption.
Choice D rationale
The absence of vomiting does not rule out bulimia nervosa, as individuals may engage in other compensatory behaviors like excessive exercise or fasting.
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