AIIMS Rishikesh & Jodhpur NO - 2017
Mental Health Nursing
Easy
A person thinks that people are planning to kill or harm him / her, is a type of?
Appeared in: AIIMS Rishikesh & Jodhpur NO - 2017
Explanation
- Delusion of persecution is characterized by the central theme of being attacked, harassed, cheated, persecuted, or conspired against.
- The question describes a person's belief that others are planning to kill or harm them, which directly aligns with the definition of a persecutory delusion.
- This type of delusion is one of the most common in psychotic disorders like schizophrenia.
Why Other Options Were Wrong
- Option B: An idea of reference is the false belief that random events, objects, or the behavior of others have a direct and personal significance. For example, believing a news report is specifically about them. This is different from the belief of being actively harmed.
- Option C: 'Idea of suspect' is not a standard or formal term used in psychiatry to classify a type of delusion. It is a distractor.
- Option D: A delusion of grandeur is a belief in one's own exaggerated importance, power, knowledge, or identity. For instance, believing one is a deity or a famous celebrity. This is contrary to the feeling of being a victim, as seen in persecutory delusions.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of specific types of delusions in psychiatric nursing as background academic context rather than a clinical decision trigger.
- Nurses must prioritize safety for patients with persecutory delusions. This includes assessing for any plans the patient may have to 'defend' themselves, which could pose a risk to others or themselves.
- Building a therapeutic alliance is critical. A nurse should acknowledge the patient's fear and distress without confirming the reality of the delusion. Phrases like, 'That sounds very frightening for you,' can show empathy without collusion.
- What if the patient's belief was not fixed and they could consider that their fears might be imagined? This would be classified as an 'overvalued idea' rather than a delusion, and the therapeutic approach might focus more on cognitive-behavioral techniques to challenge the thought patterns.
How to Approach the Question
- First, identify the core theme of the belief described in the question stem. Here, the theme is fear of being harmed or killed.
- Next, review the definitions of the delusion types provided in the options.
- Match the theme from the stem to the correct definition. The belief that people are planning to harm you is the definition of a delusion of persecution.
- Eliminate the other options by recalling their definitions. Grandeur is about being great, reference is about neutral events having personal meaning, and 'idea of suspect' is not a formal term.
Concept Tested & Keywords
- Concept Tested: Identification of specific types of delusions in psychiatric nursing.
- Stem keywords: thinks, people are planning, kill or harm
- Lead-in keywords: is a type of
- Clinical cues: The core belief described is a fear of being harmed or killed by others, which is a key feature of a specific delusion type.
Question ID
Qlrhj7C_6V1uHBd0UlXsal
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. 4723-4725, 3807-3809
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1118-1120
Practise the full AIIMS Rishikesh & Jodhpur NO - 2017
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Schizophrenia Questions
- Social skill training for Schizophrenia patient is done for which symptom?
- Meaningless and incoherent mixture of words and phrases is termed:
- Paranoid thoughts are described as:
- Senseless repetition of same words phrases over and over again is known as:-
- The term which is used to describe idiosyncratically formed new words whose derivation cannot be understood easily is:-
- What is true about schizophrenia?
- A patient may report hearing voices criticizing him every time he hears the sound of a rotating fan and it stops when the fan is not running. Which t…
- According to Schneider, which of the following symptoms in schizophrenia patients are known as first rank, except?
- What are the 4 A's symptoms of schizophrenia?
- Which of the following are positive signs and symptoms of schizophrenia?
More AIIMS Rishikesh & Jodhpur NO - 2017 Questions
- A phenomenon during therapeutic nurse-client relationship when the client unconsciously attributes (or transfers) to the nurse feelings and behaviora…
- A nurse in labor performing a vaginal assessment on a pregnant client in labor notes the presence of the umbilical cord protruding from the uterus. W…
- The term used to describe the discharges from the uterus following delivery during the initial puerperium is known as?
- Identify the following image?& x20;
- The normal rate of cervical dilation in the active phase of the first stage of labor in a primigravida is?
- False sensory perception without external stimuli is called?
- During blood transfusion, the most important nursing responsibility is?
- Kit supplied at sub center is?
- A patient in the emergency department has an endotracheal tube in place and is on the ventilator. His relative comes running to you telling you that…
- Which of the following is not a mood stabilizing agent?