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NCLEX Question of the Day
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A nurse is caring for a client with schizophrenia. The client reports hearing voices that are giving commands. How should the nurse document this symptom?
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Client experiences visual hallucinations.
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Client is exhibiting signs of paranoia.
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Client complains of audio delusions.
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Correct answer Client reports auditory hallucinations.
Rationale
Hallucinations are sensory perceptions that occur without an actual external stimulus. Auditory hallucinations, specifically, involve hearing sounds or voices that are not present. In the context of schizophrenia, these voices can often include commands or commentary. The correct answer is 'auditory hallucinations' because it accurately describes the symptom based on the client's report.
An 'audio delusion' is not a term typically used in clinical documentation; visual hallucinations involve seeing things that aren't there; and paranoia typically involves irrational fears or distrust, not hallucinations.
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