AIIMS Raipur NO - 2019 (Shift-2)
Mental Health Nursing
Easy
Auditory hallucinations are disorders of?
Appeared in: AIIMS Raipur NO - 2019 (Shift-2)
Explanation
- Auditory hallucinations are false sensory experiences, specifically hearing sounds or voices that are not present in reality.
- Perception is the brain's process of organizing and interpreting sensory information from the environment.
- A hallucination is, by definition, a false perception, meaning it occurs without any actual external sensory stimulus.
- Therefore, auditory hallucinations are correctly classified as a disorder of perception.
Why Other Options Were Wrong
- Option A: Judgment is a cognitive function related to decision-making and problem-solving, not sensory processing. It is considered a disorder of thought.
- Option C: Mood is a sustained emotional state (e.g., depression, mania). While hallucinations can be associated with mood disorders, mood itself is a disorder of emotion, not perception.
- Option D: Affect is the observable expression of emotion (e.g., facial expression, tone of voice). A blunted or flat affect is a common symptom in schizophrenia, but it is a disorder of emotional expression, not perception.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Disorders of Perception (Hallucinations) as background academic context rather than a clinical decision trigger.
- A priority nursing assessment for a patient with auditory hallucinations is to determine if they are 'command hallucinations'—voices instructing the patient to harm themselves or others. This represents a significant safety risk.
- Nursing interventions focus on creating a safe environment, acknowledging the patient's experience without validating the hallucination as real (e.g., 'I don't hear the voices, but I understand they are real to you and that must be frightening'), and offering reality-based distractions.
- What if? If the patient were experiencing an illusion (e.g., misinterpreting the sound of a fan as a voice), the primary nursing intervention would shift from distraction to reorientation. The nurse would clarify the source of the stimulus ('That sound is the air conditioner, not a voice') to help correct the misperception.
How to Approach the Question
- First, identify the key term in the question: 'Auditory hallucinations'.
- Define this term. A hallucination is a sensory experience that occurs in the absence of an external stimulus.
- Next, analyze the options provided: Judgment (thought), Perception (sensory interpretation), Mood (sustained emotion), and Affect (expressed emotion).
- Match the definition of hallucination to the most appropriate category. Since a hallucination is a false sensory experience, it directly relates to the process of perception.
- Eliminate the other options by confirming they relate to different domains of mental function (thought and emotion).
Concept Tested & Keywords
- Concept Tested: Disorders of Perception (Hallucinations)
- Stem keywords: Auditory hallucinations, disorders
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
Q34SYyzeBU56Q45kp0hmt0
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 3250-3252, 3818-3820
E6 Medicine Macleod Clinical Examination 15e p. 372-374
Practise the full AIIMS Raipur NO - 2019 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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