The nurse on the mental health unit receives report about a client diagnosed with schizophrenia who has a delusion of reference. Which client statement supports this symptom?
"I need for you to get rid of these bugs that are crawling under my skin."
"Those Martians are trying to poison me with the tap water."
"Hear that? She told me to kill my father."
"That song is a message sent to me in secret code."
The Correct Answer is D
Choice A reason: This describes tactile hallucinations, a false sensory experience, not a delusion of reference.
Choice B reason: This reflects a persecutory delusion, where the client believes they are being harmed or targeted, not a delusion of reference.
Choice C reason: This illustrates an auditory hallucination with command-type voices, not a delusion of reference.
Choice D reason: Believing that unrelated environmental cues (like a song) carry special, hidden meaning specifically for the client is the hallmark of a delusion of reference.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Classical conditioning is associated with behavioral theory, particularly the work of Pavlov, and is not central to Rogers’ humanistic approach.
Choice B reason: Changing distorted thought patterns reflects cognitive-behavioral therapy, which differs from Rogers’ emphasis on humanistic principles.
Choice C reason: Psychoanalysis focuses on unconscious drives and conflicts, a concept developed by Freud, not Carl Rogers.
Choice D reason: Rogers highlighted unconditional positive regard, empathy, and the belief in a client’s potential for growth as essential to therapeutic relationships, forming the foundation of his humanistic approach.
Correct Answer is B
Explanation
Choice A reason: Processing auditory information and comprehension is primarily the function of the temporal lobe, not the parietal lobe.
Choice B reason: The parietal lobe is responsible for integrating sensory input such as touch, pain, pressure, and temperature, allowing the brain to form a coherent understanding of the body’s physical state.
Choice C reason: Voluntary muscle movement coordination and balance are functions of the cerebellum and motor cortex, not the parietal lobe.
Choice D reason: Emotions and memory formation are primarily regulated by the limbic system, especially the amygdala and hippocampus, not the parietal lobe.
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