Author Question: Which of the following descriptions of client experience and behavior can be assessed as a ... (Read 55 times)

mynx · **on:** Jul 19, 2018

Which of the following descriptions of client experience and behavior can be assessed as a
hallucination? A client

a. states I feel bugs crawling on my legs and biting me..
b. looks at shadows on a wall and tells the nurse I see scary faces..
c. becomes anxious whenever the nurse leaves her bedside.
d. tries to hit the nurse when vital signs are being taken.

Question 2

A client, aged 16 years, comes to the crisis clinic. The nurse learns she is being molested by her
uncle. She has told her mother, who thinks she is lying.

In a disjointed fashion, the client tells the
nurse the following: (1) I am all confused. I got desperate and tried to kill myself.. (2) For a few
days I just sat in my room. I told my mother I was sick.. (3) I tried to figure out what to do. First I
thought I would live with my friend, but her mother said I couldn't. Then I thought I would go live
in a homeless shelter.. (4) I told my mother, hoping she would tell my uncle he couldn't come to
the house anymore.. The client has actually described the four distinct phases of crisis according to
Caplan. Which of the following reflects the statements in the correct order to coincide with Caplan's
theory?
a. 1, 2, 3, 4
b. 4, 2, 3, 1
c. 3, 2, 1, 4
d. 4, 3, 2, 1

234sdffa · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
An illusion is a misinterpreted sensory perception. A hallucination is a false sensory perception
occurring without a corresponding sensory stimulus. Feeling bugs on the body when none are
present is a tactile hallucination. Option B: Misinterpreting shadows as faces is an illusion. Options
C and D are examples of behaviors sometimes occurring during delirium that are related to
fluctuating levels of awareness and misinterpreted stimuli.

Answer to Question 2

D
Caplan suggests that in stage 1 the individual tries the usual problem-solving methods in an attempt
to lower anxiety. In stage 2, trial-and-error attempts at solving the problem are used to restore
equilibrium. In stage 3, automatic relief behaviors such as withdrawal and flight are used. In stage 4,
the anxiety can be so overwhelming as to lead to serious personality disorganization or suicidal
behavior.