Actual Q&A (GCN) (Updated PDF)
1. A client reports hearing voices that no one else can hear. The nurse
documents this as which type of symptom?
A) Hallucination
B) Delusion
C) Illusion
D) Confabulation
Correct Answer: A) Hallucination
Rationale: Hallucinations are sensory experiences involving any of the five
senses, such as hearing voices that are not present. Delusions are fixed false
beliefs, not sensory experiences.
2. A client believes that the government has implanted a tracking device in their
brain despite no evidence. This is an example of which symptom?
A) Auditory hallucination
B) Delusion
C) Visual hallucination
D) Illusion
Correct Answer: B) Delusion
,Rationale: A delusion is a fixed false belief held despite contrary evidence. The
client's belief about a tracking device is a persecutory delusion, not a sensory
experience.
3. Severe alcohol withdrawal with tremors, confusion, high fever, and
hallucinations most often occurs at which time after the last drink?
A) 12 hours
B) 24 hours
C) 48 to 72 hours
D) 1 week
Correct Answer: C) 48 to 72 hours
Rationale: Delirium tremens typically develops 48 to 72 hours after the last
drink. It is a medical emergency requiring immediate intervention.
4. Conversion disorder is more common in which population?
A) Men
B) Children
C) Older adults
D) Women
Correct Answer: D) Women
, Rationale: Conversion disorder occurs more often in women, though it can
affect any gender. It involves loss of voluntary motor or sensory function
without a medical cause.
5. A client intentionally produces physical symptoms to assume the sick role.
Which disorder is this?
A) Factitious disorder
B) Malingering
C) Conversion disorder
D) Somatic symptom disorder
Correct Answer: A) Factitious disorder
Rationale: Factitious disorder involves intentional production of symptoms to
gain the sick role. Malingering seeks external gain; conversion and somatic
symptom disorders are not intentionally produced.
6. A client intentionally produces symptoms to obtain disability payments. The
nurse identifies this as:
A) Factitious disorder
B) Malingering
C) Conversion disorder
D) Illness anxiety disorder
Correct Answer: B) Malingering