Difficulty: Medium
Average Score: 62%
Full-length
Passage / Scenario
A client describing seeing snakes on the walls of his room in a psychiatric facility.Based on this information, the nurse should identify a nursing diagnosis of
Correct answer
A
Rationale
Strategy: Think about each answer choice. (1) correct-reflects a pattern of impaired perception, which is supported by the data that client is having a hallucination, defined as a sensory perception for which no external stimuli exist (2) not relevant to the data (3) not relevant to the data (4) not relevant to the data