CHAPTER I INTRODUCTION Background hallucinations are a condition in which a person
experiences changes in the pattern and amount of internally or externally initiated
stimuli around them with attenuation, exaggeration, distortion, or unusual responses. for each stimulus (Pardede, Kelint, and Yulia, 2015). Hallucinations are false experiences, false perceptions, or false responses to sensory stimulation. An erroneous cognitive distortion that occurs during a diseased neurological response. Hallucinations can come from any of the five senses. Reactions to hallucinations include hearing voices, suspicion, anxiety, inability to make decisions, and inability to distinguish between reality and fiction. Patients with hallucinations have parental, developmental, neurophysiological and psychological factors that cause hallucinatory symptoms. People with hallucinations often talk to themselves and smile to themselves. laughing alone, alienating others, not being able to distinguish between what is real and what is fake (Fitri, 2019). The effect of hallucinations is a loss of social self, which in this situation can lead to suicide, killing others and even destroying the environment. To minimize the effects of hallucinations, appropriate treatment is necessary. With countless cases of hallucinations occurring, the role of nurses to help patients control hallucinations is increasingly clear (Maulana, Hermawati & Salahuddin, 2021). The appropriate treatment to overcome the effects of hallucinations is to provide care and stimulation therapy. Nursing care of people with hallucinations aims to enhance the patient's awareness in real life. In the treatment of hallucinations, a number of nursing therapies have been used, such as strategy implementation therapy, namely the implementation of planned nursing care standards applied to patients with the aim of alleviate the problems psychiatric nurses treat. Implementation strategies for patients with hallucinations include activities to recognize hallucinations, teaching patients to reprimand them, taking medication regularly, talking to others when hallucinations occur, and performing programmed activities to prevent hallucinations (Livana et al., 2020). Managing hallucinations helps identify hallucinations by talking to the client about their hallucinations (what they hear/see), when they occur, how often they occur, the situations in which they appear, and The customer's reaction when hallucinations appear, so that the customer's hallucinations can be controlled. can control their hallucinations when the hallucinations recur, this application can be a program of daily activities that the customer can do with the aim of reducing the problem of hallucinations that the customer suffers from the disorder sensory perceptions (auditory hallucinations) are encountered (Keliat, 2012). Problem formulation Based on the background that has been explained, it can be concluded that several problem formulations will be discussed in this article, namely: What is the meaning of hallucination? What are the signs and symptoms of someone hallucinating? How is the assessment of clients with hallucinations done? What diagnoses can be made in clients with hallucinations? Which nursing action plan should be implemented for the client who is experiencing hallucinations? What outcomes are expected from nursing care of a client with hallucinations? Main Purpose The general purpose of preparing this article is to help students, especially undergraduate nursing students, understand the nurse's role in caring for clients with hallucinations. Specific Objectives Explain the meaning of hallucinations Address the signs and symptoms of a client with hallucinations Explain the assessment performed in a client with hallucinations State and explain the possible diagnosis performed on a client with hallucinations State and explain a nursing action plan that can be implemented on a client with hallucinations Explain the expected outcomes of nursing care for a client with hallucinations SOURCE Pardede, J. A., & Sianturi, S. F. (2022). Application for psychiatric nursing care for Mrs. H suffering from hallucinations. Telaumbanua, B.S., & Pardede, J. A. (2023). Implement a strategy for implementing psychiatric nursing care for Mrs. N with auditory hallucinations. OSF preprint. January 11. Hulu, MPC and & Pardon, J. A. (2022). Psychiatric Nursing Management of Mr. S with Delusional Problems Through General Therapy SP 1-4: Case study.