The nurse is talking to a group of student nurses about content of thought in clients with schizophrenia. The nurse gives an example of a client stating that her new tooth filling allows her to communicate with the Secret Service and follow their directives. Which response correctly identifies this content of thought?

  1. somatic delusion
  2. delusion of grandeur
  3. delusion of persecution
  4. delusion of control or influence
Number 4 is correct.
Rationale: The client with delusion of control or influence believes that her behavior is controlled by certain people or objects. With somatic delusion, the client has false ideas about the functioning of his body. For example, a man may believe he is pregnant and will give birth. Delusions of grandeur involve feelings of superiority of power, knowledge, or importance. A client with delusions of grandeur may believe that he is God. The client suffering delusions of persecution feels that people are out to get her, for example, that a neighbor is plotting to kill her.