Practice Quiz

Certified Nursing Assistant Exam Prep

Category - Pyschosocial Care

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Which of the following may indicate that a client is experiencing an illusion?
  1. The client tries to hit the nurse aide when vital signs must be taken.
  2. The client says, “I keep hearing a voice telling me to run away.”
  3. The client becomes anxious whenever the nurse aide leaves the bedside.
  4. The client looks at the shadows on a wall and tells the nurse aide she sees frightening faces on the wall.
Explanation
Answer: D -Aclient who looks at the shadows on a wall and tells the nurse aide she sees frightening faces on the wall is experiencing an illusion. An illusion is an inaccurate perception or false response to a sensory stimulus. Illusions can be distinguished from auditory hallucinations, which are associated with sound. Hearing voices is an example of an auditory hallucination. Anxiety and agitation, as described in choices A and C, can be secondary to illusions.
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