UPUMS Nsg.Officer-2024
Psychiatric Nursing
Easy
A patient thinks that his relative wants to kill him. This is an example of?
Appeared in: UPUMS Nsg.Officer-2024
Explanation
- A delusion is a false, fixed belief that is resistant to reason or confrontation with actual facts.
- The patient's belief that a relative wants to kill him is a specific type of delusion known as a persecutory delusion.
- This is a disorder of thought content, not a sensory perception (hallucination) or a global cognitive state (dementia, delirium).
Why Other Options Were Wrong
- Option A: Dementia is a chronic, progressive neurocognitive disorder characterized by a decline in memory, language, and problem-solving skills, which affects daily functioning. The question describes a specific false belief, not a global cognitive decline.
- Option B: Delirium is an acute, fluctuating disturbance of consciousness, attention, and cognition. It has a sudden onset and is often caused by an underlying medical condition. The scenario describes a fixed belief, not an acute confusional state.
- Option C: A hallucination is a false sensory perception. The patient would be seeing, hearing, feeling, tasting, or smelling something that isn't there. The question states the patient 'thinks' something, which is a belief, not a perception.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to This question tests the knowledge of psychopathology, specifically the ability to differentiate between various disorders of thought and cognition to guide bedside assessment, documentation, and the next nursing action.
- Accurately identifying a patient's symptoms is the first step in diagnosis and creating a safe care plan. Misidentifying a delusion as a hallucination or confusion could lead to inappropriate interventions.
- Patients with persecutory delusions are at a higher risk for violence, either towards themselves or towards the person they believe is persecuting them. A nurse's primary responsibility is to ensure the safety of the patient and others.
- What if? If the patient said, 'I hear my relative's voice telling me they are going to kill me,' the correct answer would change to Hallucination (specifically, an auditory hallucination), as it would be a false sensory perception rather than a false belief.
How to Approach the Question
- First, identify the core symptom described in the question stem. The patient 'thinks' something is true.
- Analyze the nature of this symptom. Is it a belief, a sensory experience, or a state of consciousness?
- The symptom is a belief ('thinks his relative wants to kill him'). It is also false and likely fixed.
- Evaluate the options based on this analysis. A 'false, fixed belief' is the definition of a delusion.
- Differentiate this from a hallucination (false perception), delirium (acute confusion), and dementia (chronic cognitive decline) to confirm the correct answer.
Concept Tested & Keywords
- Concept Tested: This question tests the knowledge of psychopathology, specifically the ability to differentiate between various disorders of thought and cognition.
- Stem keywords: patient thinks, relative wants to kill him
- Lead-in keywords: example of
- Clinical cues: The patient's thought process ('thinks') is the key cue, pointing towards a disorder of thought content rather than perception or general cognitive state.
Question ID
QdrzPapKvmTgjVSuaVyvmW
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 3249-3251, 13871-13873, 13827-13829
Practise the full UPUMS Nsg.Officer-2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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