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    ATI 133 Mental Health Final Proctored Exam

    A nurse is caring for a client diagnosed with schizophrenia. The client states, "Did you know that I am engaged to the Prince of England?" The nurse should document that the client is experiencing which of the following types of delusions?

    Explanation & Rationale

    Choice A reason: Persecutory delusions involve the belief that one is going to be harmed, or that someone is conspiring against them. This type of delusion is characterized by feelings of being followed, spied on, poisoned, or tormented. The client's belief of engagement to the Prince of England does not reflect these themes. Choice B reason: Erotomanic delusions are characterized by the belief that another person, often of higher status, is in love with the individual. In this case, the client's claim of being engaged to the Prince of England fits the description of an erotomanic delusion. This type of delusion can lead to significant distress and may result in stalking or other unwanted behaviors towards the object of their delusion. Choice C reason: Somatic delusions are false beliefs about one's body or health. For example, a person may believe they have a terrible disease or that a part of their body is not functioning correctly. The client's statement does not indicate any concerns about their physical health or body, so it is not a somatic delusion. Choice D reason: Delusions of control involve the belief that one's thoughts, feelings, or actions are being controlled by external forces. This type of delusion might manifest as beliefs about being controlled by aliens or having one's thoughts broadcasted. The client's statement about being engaged does not suggest that they feel controlled by someone or something else.

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