NORCET 3 - 2022 (Shift-1)
Psychiatric Nursing
Easy
A Person says I am a planet and I am rule, this is commonly seen in which psychiatric disorder?
Appeared in: NORCET 3 - 2022 (Shift-1)
Explanation
- The patient's statement, "I am a planet and I am rule," is a classic manifestation of a grandiose delusion.
- Grandiose delusions are characterized by fantastical beliefs that one is famous, omnipotent, wealthy, or otherwise very powerful.
- This type of delusion involves a belief of having a special identity or possessing special powers, which directly aligns with the patient's claim.
Why Other Options Were Wrong
- Option B: Ideas of reference involve misinterpreting neutral external events as having personal significance. The patient is stating a belief about their own identity, not interpreting an external event.
- Option C: Delusion of nihilism is the belief that oneself, a part of the body, or the world does not exist or is ending. This is the opposite of a grandiose belief of being a powerful entity like a planet.
- Option D: Delusion of persecution is the belief that one is being harmed, harassed, or conspired against. The patient's statement is about their own identity, not about being targeted by others.
Related Visual
- Visual 1: Infographic: A chart comparing the different types of delusions (Grandiose, Persecutory, Nihilistic, Erotomanic, Somatic, and Reference) with clear definitions and examples for each.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Types of Delusions in Psychiatric Disorders as background academic context rather than a clinical decision trigger.
- Recognizing the type of delusion is crucial for assessing risk. Grandiose delusions, while seemingly less threatening than persecutory ones, can lead to risky behaviors if the person believes they are invincible.
- The primary nursing intervention is to build a therapeutic alliance without reinforcing the delusion. Do not argue, but gently orient the patient to reality when appropriate and focus on their feelings.
- What if? If the patient's delusion was, "The planets are telling me to rule the world," this would blend grandiose themes with ideas of reference, requiring the nurse to address both the feeling of power and the misinterpretation of external cues.
How to Approach the Question
- First, analyze the patient's statement: "I am a planet and I am rule."
- Break down the core belief expressed in the statement. The person believes they are a non-human entity (a planet) with supreme authority ('I rule').
- Evaluate this core belief against the definitions of the options provided.
- Match the belief of exaggerated self-importance and power to the definition of 'Delusion of Grandiosity'.
- Eliminate other options by recognizing they don't fit. 'Ideas of reference' is about external events, 'nihilism' is about non-existence, and 'persecution' is about being targeted.
Concept Tested & Keywords
- Concept Tested: Types of Delusions in Psychiatric Disorders
- Stem keywords: planet, rule, psychiatric disorder
- Lead-in keywords: commonly seen in
- Clinical cues: Patient's statement reflects an altered sense of identity and power.
Question ID
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Practise the full NORCET 3 - 2022 (Shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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