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NCLEX-PN

Category - Psychosocial Integrity

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The nurse hears a scream from the room of a client who is admitted with a diagnosis of undifferentiated schizophrenia. When the nurse checks on the client, the client tells the nurse, “There’s a big spider on my bed!” On inspection, the nurse finds a sponge on the client’s bed. The client is experiencing:

Auditory hallucination
Illusion
Visual hallucination
Loose associations

Explanation

Answer: B - Illusion is the misinterpretation of a real sensory stimulus, in contrast to visual hallucination, which has no sensory stimulus. The other options are not correct.

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