A nurse is assessing a client who has schizophrenia. The client tells the nurse. “My heart exploded and my blood is draining out.” The nurse should interpret this statement as which of the following manifestations?
A.
Paranoia
B.
A somatic delusion
C.
Concrete thinking
D.
A visual hallucination
The correct answer and Explanation is :
The correct answer is B. A somatic delusion.
Explanation:
In the context of schizophrenia, delusions are false beliefs that are strongly held despite evidence to the contrary. They can take various forms, including somatic, which involves the belief that something is wrong with one’s body or that bodily sensations are abnormal or distressing.
In this case, the client’s statement, “My heart exploded and my blood is draining out,” reflects a belief about their body that is not grounded in reality. The client is expressing a delusional belief about a physical condition that is not actually occurring. This belief about the heart exploding and blood draining out is indicative of a somatic delusion because it involves an incorrect belief about bodily functions.
Here’s a breakdown of why the other options are less appropriate:
- A. Paranoia: Paranoia involves irrational and persistent mistrust or suspicion of others. While paranoia could be a component of schizophrenia, the statement in question does not indicate distrust or suspicion but rather a specific belief about bodily harm.
- C. Concrete thinking: Concrete thinking refers to a literal interpretation of situations, often seen in individuals with certain cognitive impairments or developmental disorders. The statement does not reflect a literal interpretation but rather a false belief about a physical state.
- D. A visual hallucination: Visual hallucinations involve seeing things that are not present. The client’s statement does not describe seeing something that is not there but rather a belief about a physical event occurring, which aligns more with a delusion.
Somatic delusions are a common symptom in schizophrenia and can be distressing for clients, affecting their behavior and overall well-being. Addressing these delusions with sensitivity and appropriate treatment is crucial in managing schizophrenia effectively.