AIIMS Raipur lecturer 2021
Mental Health Nursing
Easy
Auditory hallucinations are the disorders of which among the following options?
Appeared in: AIIMS Raipur lecturer 2021
Explanation
- Hallucinations are defined as false sensory perceptions that occur in the absence of any real external stimulus.
- Since auditory hallucinations involve the sense of hearing, they are fundamentally a disorder of perception.
- This is distinct from illusions, which are misinterpretations of real stimuli, though both are perceptual disturbances.
- The experience feels completely real to the person having it.
Why Other Options Were Wrong
- Option A: Affect relates to the observable expression of emotion and mood, such as sadness or happiness. It is not a disorder of sensory input.
- Option B: Attention is the cognitive process of selectively concentrating on one aspect of the environment while ignoring others. A hallucination is a false sensory experience, not a failure of focus.
- Option C: Cognition refers to higher-level mental processes like thinking, reasoning, and belief. While hallucinations can occur in cognitive disorders like schizophrenia, the hallucination itself is a perceptual error, not a thought error. A disorder of thought content is a delusion (a false belief).
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of psychiatric symptoms, specifically disorders of perception as background academic context rather than a clinical decision trigger.
- Accurately identifying a patient's report of hallucinations as a perceptual disturbance is the first step in diagnosing serious mental illnesses like schizophrenia or psychosis from organic causes (e.g., delirium, substance withdrawal).
- A crucial nursing responsibility is to assess for command hallucinations, which are voices instructing the patient to perform an act, often one that is harmful to themselves or others. This is a psychiatric emergency requiring immediate safety interventions.
- What if? If the patient reported hearing voices only when the air conditioner turned on, the nurse should first investigate for an illusion (misinterpreting the sound of the AC) before concluding it's a hallucination. This shows the importance of assessing for an external stimulus.
How to Approach the Question
- First, identify the key term in the question: 'auditory hallucinations.'
- Break down the term: 'Auditory' relates to hearing (a sense), and 'hallucination' is a key psychiatric term.
- Recall the definition of a hallucination: a sensory experience that occurs without an external stimulus.
- Analyze the options provided: Affect (emotion), Attention (focus), Cognition (thought), and Perception (senses).
- Connect the definition of a hallucination (a sensory event) to the most appropriate category. Since it involves 'hearing' a voice that isn't there, it is a disorder of perception.
- Eliminate the other options by confirming they represent different domains of mental function.
Concept Tested & Keywords
- Concept Tested: Classification of psychiatric symptoms, specifically disorders of perception.
- Stem keywords: Auditory hallucinations, disorders
- Lead-in keywords: which among the following
Question ID
QiZALQfQhkAeiSqXg0TkRa
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) p. 3250-3252
E6 Medicine Macleod Clinical Examination 15e p. 372-374
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