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    NUR 205 A- Mental Health Final Proctored Exam- Winter- Swedish Institute

    During the nursing assessment, a client describes constantly hearing voices mumbling in the background. The client denies that the voices are telling the client to do anything harmful. The nurse documents that the client is experiencing what?

    Explanation & Rationale

    The client is describing a sensory perception in the absence of an external stimulus, specifically, hearing voices. In psychiatric nursing, these are classified based on the sense involved. Since the client is hearing voices, this is an auditory experience. Rationale: A. Olfactory hallucinations involve the sense of smell. A client might report smelling rotting meat, feces, or smoke when no such odor is present. These are less common in schizophrenia and often associated with neurological issues like temporal lobe epilepsy. B. Auditory hallucinations is the correct answer. This is the most common type of hallucination in psychiatric disorders, particularly schizophrenia. They can range from simple sounds (clicks, rushing water) to complex voices that are distinct, mumbling, or multiple people holding a conversation. C. Gustatory hallucinations involve the sense of taste. Clients may describe a persistent metallic, bitter, or salty taste in their mouth. Like olfactory hallucinations, these can sometimes indicate medical or neurological conditions rather than primary psychiatric illness. D. Command hallucinations are a specific subtype of auditory hallucinations where the voices give the client instructions such as "Jump out the window" or "Don't eat the food". Because the client explicitly denies that the voices are telling them to do anything, this does not meet the criteria for command hallucinations.

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