Which of the following may indicate that a client is experiencing an illusion?
A)The client tries to hit the nurse aide when vital signs must be taken.
B)The client says, "I keep hearing a voice telling me to run away."
C)The client becomes anxious whenever the nurse aide leaves the bedside.
D)The client looks at the shadows on a wall and tells the nurse aide she sees frightening faces on the wall.

Question

Quizplus · Accepted Answer

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.

Which of the Following May Indicate That a Client Is