RUHS, Jaipur, M.Sc Nursing Entrance Exam-2022
Mental Health Nursing
Easy
Hallucination influences the patient to take some specific action against others is known as
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2022
Explanation
- Command hallucinations are a specific subtype of hallucinations, usually auditory, where a person hears voices ordering them to perform certain actions.
- The defining feature is the 'command' aspect, which directly influences the patient's behavior and can lead them to take action.
- These hallucinations are of high clinical concern because the commands may be dangerous, instructing the patient to harm themselves or others.
- The question specifically describes a hallucination that 'influences the patient to take some specific action,' which is the definition of a command hallucination.
Why Other Options Were Wrong
- Option A: This is a broad category for any false auditory perception. While command hallucinations are a type of auditory hallucination, the term 'auditory hallucination' itself does not specify that a command is given.
- Option B: This involves the sense of sight (seeing things that are not there). It does not involve hearing commands or being influenced to take action based on a voice.
- Option C: This involves the sense of touch (e.g., feeling something crawling on the skin). It is a false somatic sensation and does not involve commands.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Types of Hallucinations to guide bedside assessment, documentation, and the next nursing action.
- Assessing for command hallucinations is a critical nursing responsibility in psychiatric care due to the high risk of danger to the patient and others.
- Nurses must directly ask about the content of hallucinations. A patient experiencing command hallucinations may require immediate safety interventions, such as one-to-one observation or seclusion, to prevent them from acting on dangerous commands.
- What if? If a patient admits to command hallucinations but says the commands are benign (e.g., 'to brush your teeth'), the immediate risk is lower, but the nurse must still monitor closely as the content of hallucinations can change, especially under stress.
How to Approach the Question
- First, analyze the question stem to identify the key concepts. The crucial phrase is 'influences the patient to take some specific action.'
- Next, evaluate each option based on this key phrase.
- Auditory hallucination refers to hearing things, which is too general.
- Visual and tactile hallucinations relate to the wrong sensory modalities (sight and touch, respectively).
- Command hallucination specifically describes being ordered to perform an action, which perfectly matches the stem.
- Therefore, select the most specific and accurate term that describes the phenomenon.
Concept Tested & Keywords
- Concept Tested: Types of Hallucinations
- Stem keywords: Hallucination, influences, specific action, against others
- Lead-in keywords: is known as
- Negative lead-in flag: false
Question ID
Q89oymJEdggr1FrAgh6ybG
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. 3819-3821, 4717-4719, 4718-4720
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