Client hallucinations arise because of changes of social relationships. Inadequate social development led to the failure of individuals to learn and maintain communication with others. As a result, clients tend to separate themselves and only get involved in their own mind which does not require the control of others. Thus the onset of loneliness, social isolation, shallow relationships and dependent (Haber, 1987).
As a result of enjoying the sounds that are heard, then the client is only involved in his own mind, so clients are lazy or lack of interest in performing daily activities such as personal hygiene, eating, and others.
Hallucinations occur on the client to hear, this is caused because the client had a history of a breakup with her boyfriend one time, then by the family of married clients. After being married for three months, his wife left him and the client was very disappointed, often alone, daydreaming, do not want to eat then the client admitted to a psychiatric hospital for 8 months.
This is consistent with the occurrence of hallucinations in the first phase described by Haber et al, 1982. In this phase, clients experiencing anxiety, stress, feeling separate, alone. Clients may be daydreaming or focusing the mind on a fun thing to relieve anxiety and stress. In this way a temporary help, the client still can control his consciousness and perception to know his mind, but the intensity increases.
After eight months of treatment, the client declared cured and allowed to go home. At home, the client had an accident while riding a motorcycle was later treated in hospital. After discharge from the hospital, a few days later, the client began to daydream and to hear voices that say or tell him to throw cups and plates. The symptoms of this client indicates that the client is experiencing symptoms of hallucinations into two phases, namely where the client is at the level of listening, thinking it stand out like a picture of the internal sounds and sensations.
A month ago, the client is hearing voices and asked the nurse whether the client should make friends with a spirit, because he is often invited to speak. In accordance with the stage of hallucination, the client is in the third phase, which is more prominent hallucinations, mastering, hallucinations give pleasure and sense of security while.
And then the client enters the fourth phase to the symptoms of hallucinations that are threatening the client's hearing voices "I'm not scared of you". Then the client said "I'm also not scared of you!"
With the existence of this hallucination, then the problems that arise on a potential client is on a rampage, potentially hurting themselves and others, impaired personal hygiene, impaired ADL. Clients tend to pull away, smiling and talking to herself.
As a result he was unable to provide adequate emotional response, the client looks bisar, does not fit (Fortinash, 1991; Benner, 1989; Hater, 1987). Potentially hurt themselves and others, potential amok may occur on the client, because the client heard voices threatening, mocking, the client was told by the spirits for slamming plates and glasses.
Example Process of Hallucinations
Of the problems it found a number of eleven pieces of nursing problems, namely:
1. Impaired reality orientation
2. Impaired interpersonal relationships: Pulling away
3. Impaired verbal and nonverbal communication
4. Ineffective individual coping
5. Impaired perception: Hear Hallucinations
6. Impaired self-care
7. Ineffective family coping
8. Risk for hurting themselves and others
9. Risk for rampage
10. Risk for impaired nutrition: less than body requirements
11. Risk for relapse