Which of the following best describes an illusion?
False belief that someone is following.
Misinterpretation of real experience.
Feeling things that are not there.
Hearing voices that are not there.
The Correct Answer is B
A. False belief that someone is following. This describes a persecutory delusion, a type of false, fixed belief where a person is convinced they are being watched, followed, or harmed despite no evidence. Delusions are thought disturbances, whereas illusions involve misinterpretations of sensory stimuli.
B. Misinterpretation of real experience. An illusion occurs when a person misperceives an actual external stimulus. For example, seeing a coat hanging in a dark room and mistaking it for a person. Unlike hallucinations, illusions are based on real sensory input that is distorted or misinterpreted.
C. Feeling things that are not there. This describes a tactile hallucination, where a person experiences false sensory perceptions of touch, such as bugs crawling on the skin. Tactile hallucinations are commonly seen in substance withdrawal (e.g., alcohol withdrawal, cocaine intoxication) and psychotic disorders.
D. Hearing voices that are not there. This describes an auditory hallucination, the most common type of hallucination in schizophrenia and other psychotic disorders. Unlike illusions, hallucinations occur without any external stimulus and are perceived as real by the affected individual.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Stereotypic movements. Repetitive motor behaviors, such as hand-flapping, rocking, and spinning, are characteristic of autism spectrum disorder (ASD). These stereotypic movements serve as self-stimulatory behaviors and may help regulate sensory input.
B. Restricted interest. Individuals with ASD often display intense, fixated interests in specific topics or objects (e.g., an obsession with maps, numbers, or train schedules). These restricted interests are highly focused and often interfere with daily functioning.
C. Social communication deficit. Impaired social interaction and communication are core features of ASD. Affected individuals struggle with understanding social cues, making eye contact, interpreting facial expressions, and engaging in reciprocal conversations.
D. Receptive language dysfunction. While language delays can be present in ASD, receptive language dysfunction (difficulty understanding spoken language) is more characteristic of specific language impairment (SLI) or aphasia rather than ASD. In ASD, deficits in pragmatic (social) communication are more pronounced than in purely receptive language processing.
Correct Answer is A
Explanation
A. Clozapine (Clozaril) is a second-generation (atypical) antipsychotic known for its strong dopamine (D2) and serotonin (5-HT2A) blockade. It is primarily used for treatment-resistant schizophrenia but has a high risk of agranulocytosis, metabolic syndrome, and sedation, requiring regular blood monitoring.
B. Haloperidol (Haldol) is a first-generation (typical) antipsychotic that strongly blocks dopamine (D2) receptors, leading to a high risk of extrapyramidal symptoms (EPS) such as dystonia, tardive dyskinesia, and akathisia. It is commonly used for acute psychosis and agitation.
C. Fluphenazine (Prolixin is a first-generation antipsychotic that also strongly antagonizes D2 receptors, making it effective for chronic schizophrenia but highly associated with EPS. It is available in long-acting injectable (LAI) form for maintenance therapy.
D. Chlorpromazine (Thorazine) is a first-generation, low-potency antipsychotic with strong sedative, anticholinergic, and hypotensive effects. While it has a lower risk of EPS compared to high-potency FGAs like haloperidol, it causes more sedation, orthostatic hypotension, and weight gain due to histamine and muscarinic receptor blockade.
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