Describe the different types of hallucination

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Reference no: EM133922548

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The University Health Service referred a 21-year-old university student to a psychiatrist as he was complaining of hearing voices. During an outpatient interview, he told the psychiatrist that he had been upset for the last year, as he had been hearing someone talking about him when he was alone. He said he would typically hear two male voices discussing him on average three times a week. These voices would also sometimes comment on his actions. He had put off going to see his physician for over a year because he was afraid of being spied on by M15 security agents, who he was convinced were plotting to kill him. The student lives alone in rented accommodation. He told the psychiatrist that his father was "sectioned" to a psychiatric ward many years ago because of a similar problem. He has no past medical history of note. He admits to having smoked cannabis regularly for 2 years when he was 17 years old but denies any illicit drug use since coming to university. During the interview, the student kept scanning the room and appeared very suspicious. At one point, he became distracted, suddenly stopping in mid-sentence, looking over his right shoulder, and shouted: "You shut up!" He went on to say that, he felt low in mood and frustrated, as he did not understand why the security agents were after him. He admitted that he had thought of jumping in front of a car so that he could escape this "torture". When asked what he thought the problem might be, the student denied that he had a mental illness or that he needed medication.

1. Define the terms hallucination and delusion. Can both exist together?

2. Describe the different types of hallucination. What type did this student present with?

3. Describe the different types of delusions. What type did this student present with?

4. List the possible differential diagnoses for patients presenting with hallucinations and delusions.

5. What is the purpose of a risk assessment?

6. Based on this assessment, what is the most important nursing intervention?

Reference no: EM133922548

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