NCLEX-PN

Category - Psychosocial Integrity

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The nurse is caring for a client with schizophrenia who is experiencing delusions. Which of the following statements by the client demonstrates delusions of reference?

“The guests on Larry King are making fun of me!”
“I am Florence Nightingale.”
“Although they say I am healthy, I know I have a big tumor in my brain.”
“I can control that nurse with my thoughts.”

Explanation

Answer: A - The client in option A demonstrates a delusion of reference, where the client believes that the surrounding events are related to him/her or that they have a special meaning. Option B is a grandiose delusion, option C is a somatic delusion, and option D is a delusion of influence.

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