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? .

"The aliens are going to abduct me tonight.”.

"The voices told me to quit eating the food here.”. .

"Are you planning to kill me?" .

"Can you see these spiders crawling all over me?" .

Answer and Explanation

The Correct Answer is B

Choice A rationale:

This statement indicates a delusion, not a command hallucination. Delusions are fixed false beliefs that are not based in reality.

Choice B rationale:

This statement indicates a command hallucination. Command hallucinations involve hearing voices that direct the person to take action.

Choice C rationale:

This statement indicates paranoia, not a command hallucination. Paranoia involves intense anxious or fearful feelings and thoughts often related to persecution or threat.

Choice D rationale:

This statement indicates a visual hallucination, not a command hallucination. Visual hallucinations involve seeing things that aren’t there.

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Correct Answer is B

Explanation

Choice A rationale:

A motor-vehicle crash is an adventitious crisis, not a maturational one.

Choice B rationale:

A child leaving for college is a normal developmental milestone that can cause stress.

Choice C rationale:

Loss of a job is a situational crisis, not a maturational one.

Choice D rationale:

Divorce is a situational crisis, not a maturational one.

A. Suppression B. Reaction formation. C. Splitting. D. Projection.

Correct Answer is A

Explanation

Choice A rationale:

Suppression is a conscious decision to delay paying attention to an emotion or need in order to cope with the present reality. In this case, the client is choosing to delay thinking about their health until after their son’s wedding.

Choice B rationale:

Reaction formation is behaving in a way that is exactly the opposite of one’s true feelings. This is not evident in the client’s statement.

Choice C rationale:

Splitting is the inability to integrate the positive and negative qualities of oneself or others into a cohesive image. This is not evident in the client’s statement.

Choice D rationale:

Projection is attributing one’s unacceptable thoughts and feelings onto another who does not have them. This is not evident in the client’s statement.

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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? .

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of a maturational crisis?.

Correct Answer is B

Explanation

A nurse is caring for a client who has a new diagnosis of cancer. The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?.

Correct Answer is A

Explanation

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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? .