Detecting hallucinations in large language models (LLMs) remains a fundamental challenge for their trustworthy deployment. Going beyond basic uncertainty-driven hallucination detection frameworks, we propose a simple yet powerful method that quantifies uncertainty by measuring the effective rank of hidden states derived from multiple model outputs and different layers. Grounded in the spectral analysis of representations, our approach provides interpretable insights into the model's internal reasoning process through semantic variations, while requiring no extra knowledge or additional modules, thus offering a combination of theoretical elegance and practical efficiency. Meanwhile, we theoretically demonstrate the necessity of quantifying uncertainty both internally (representations of a single response) and externally (different responses), providing a justification for using representations among different layers and responses from LLMs to detect hallucinations. Extensive experiments demonstrate that our method effectively detects hallucinations and generalizes robustly across various scenarios, contributing to a new paradigm of hallucination detection for LLM truthfulness.