Which statement indicates to the nurse that a client is experiencing a delusion?

Choice A reason: Seeing a worm on the television may be a misperception or hallucination, especially if the worm is not present. It reflects a sensory disturbance rather than a fixed false belief. Choice B reason: The belief that spies are watching everything the client does is a classic example of a persecutory delusion. Delusions are fixed, false beliefs that are not grounded in reality and persist despite evidence to the contrary. This statement reflects paranoia and a distorted belief system. Choice C reason: Expressing a lack of motivation to attend group is a subjective feeling and does not indicate a delusion. It may reflect depression, fatigue, or disinterest, but it is grounded in reality. Choice D reason: Feeling bugs crawling on the skin is a tactile hallucination, not a delusion. Hallucinations involve false sensory perceptions, whereas delusions are false beliefs.