According to Better Health Channel (2014), delusion, hallucination and thought disorder may involve unreal judgement of the senses which can result in not being able to communicate to others sensibly and/or join in a social event and even doing personal activity. In addition, delusion is the misapprehension of reality while hallucination is the perception of something unreal (Better Healthh Channel, 2014). The patient may hear or see things that he/she believes really exist even though it is not. For example, a scene from the movie A Beautiful Mind posted by Kang Choi (2013), in the scene, Nash (schizophrenic) is being crowded by people because he is talking and pointing to someone that others cannot see. Although Nash knew already that what he is hearing or seeing is not real, he is still struggling to remove or ignore his hallucinations. Whilst depression in schizophrenia according to studies is associated with the patient knowing the presence of the disorder (Ribaux & Phillips, 2014, p. 144). Unlike a patient who does not have an idea of having a disease, the patient who knows they are ill have tendencies of over thinking their situations and fear for themselves or their loved ones which can lead to …show more content…
He appears to be slim, nicely dressed but seems to have poor hygiene. He is responsive during interviews but lacks facial expression when talking and appears to be disturbed at times. He also told the interviewer that he hears unpleasant comments and that he needs to be cautious. As the interviewer clarifies what he hears he becomes apprehensive and agitated. Basing on the reaction Angelo is showing, he is believed to be having delusion and hallucination which alters his belief to the interviewer making him anxious. The lack of facial expression, slim body built, and unhygienic embodies the negative symptoms of schizophrenia (Holder & Wayhs, 2014). Whereas, him hearing voices and disorder at times represents the positive symptoms (Holder & Wayhs, 2014). Moreover, it is a duty of a nurse to assure the patient that he is safe and that the staff are to be or can be trusted. To do so, therapeutic communication is necessarily be practiced to gain rapport with the patient. As cited in Walsh (2010), therapeutic relationship between the nurse and the patient is more healthful and have more positive outcome. The build of professional bond can help the patient feel sympathy and secure and would result to the cooperation of the patient. Thus in the case of Angelo, he needs to feel welcome and adjusted to settle his agitation. For example, a teenage girl was rushed to the