Author Question: A client is refusing to take his prescribed medication. The client states that the government is out ... (Read 121 times)

bio_gurl · **on:** Jul 22, 2018

A client is refusing to take his prescribed medication. The client states that the government is out to get him and is poisoning all of his medication. The nurse understands that the client is experiencing:

A) an illusion.
B) a delusion.
C) a hallucination.
D) confusion.

Question 2

A client has a traumatic brain injury that has affected the client's ability to detect the relative position of her limbs. The client has most likely experienced:

A) a subdural hemorrhage.
B) a brainstem injury.
C) damage to her proprioceptors.
D) increased intracranial pressure.

mariahkathleeen · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: B
Feedback:
Hallucinations, sensory impressions that are based on internal stimulations, have no basis in reality. Hearing voices when no one is there is a typical auditory hallucination. Delusions, beliefs not based in reality, reflect an unconscious need or fear. Illusions are misinterpretations of actual stimuli.

Answer to Question 2

Ans: C
Feedback:
Proprioceptors are located in the inner ear, muscles, tendons, and joints and affect the ability to discern the exact position of extremities. The phenomenon is not directly related to an insult to the brainstem. It may or may not be related to increased intracranial pressure or a subdural hemorrhage.