Difficulty: Medium
Average Score: 64%
Simulated
An outpatient client who has a history of paranoid schizophrenia and chronic alcohol dependency has been taking risperidone (Risperdal) for several months. She reports that she stopped drinking 4 days ago, the client is a very satisfied by the tactile hallucinations of bugs crawling under her skin. Which of the following factors should the nurse incorporate into the plan of care when explaining the tactile hallucinations?
Correct answer
C
Rationale
Tactile hallucinations, such as feeling bugs crawling under the skin, are commonly associated with alcohol withdrawal, especially 4 days after cessation, and should be addressed in the care plan.