DSSSB -28 August 2019 (Shift-2)
Mental Health Nursing
Easy
An intense sense of rapture is seen in?
Appeared in: DSSSB -28 August 2019 (Shift-2)
Explanation
- Ecstasy is defined as the most intense state of elevated mood, characterized by an overwhelming feeling of rapture and bliss.
- The term 'rapture' specifically denotes a feeling of intense pleasure or joy, which is the hallmark of ecstasy.
- In the hierarchy of mood disorders, ecstasy is considered the highest level of mood elevation, surpassing euphoria, elation, and exaltation.
- This state can be associated with peak experiences, religious fervor, or as a symptom of a manic episode in bipolar disorder.
Why Other Options Were Wrong
- Option B: Elation is a state of joy and high spirits, but it lacks the overwhelming and trance-like intensity of rapture associated with ecstasy.
- Option C: Exaltation involves intense elation plus feelings of grandeur or superiority. While it is a very elevated mood, it is specifically characterized by grandiosity, not necessarily the pure bliss or rapture of ecstasy.
- Option D: Euphoria is the mildest form of elevated mood, described as an exaggerated feeling of well-being or cheerfulness. It is not an 'intense sense of rapture'.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Disorders of Mood: Levels of Mood Elevation as background academic context rather than a clinical decision trigger.
- Nurses must be able to accurately assess and document a patient's mood using precise terminology to ensure clear communication within the healthcare team and appropriate treatment planning, especially in psychiatric settings.
- Elevated moods like exaltation and ecstasy are key symptoms of manic episodes in Bipolar I Disorder. Recognizing these states is critical for early intervention to prevent risky behaviors, poor judgment, and potential harm to the patient or others.
- What if the patient described feeling 'on top of the world' with boundless energy and a decreased need for sleep, but without a sense of rapture? In that case, the most fitting description would be 'Elation' or possibly 'Hypomania', indicating a less intense mood state than ecstasy.
How to Approach the Question
- First, identify the keywords in the question stem: 'intense sense of rapture'. This points to the most extreme level of a particular feeling.
- Next, recall the definitions of the terms related to elevated mood provided in the options: Euphoria, Elation, Exaltation, and Ecstasy.
- Compare the intensity implied by the keywords with the definitions of each option.
- Recognize that these terms form a hierarchy or spectrum of mood elevation.
- Match 'intense rapture' to the highest point on that spectrum, which is Ecstasy.
Concept Tested & Keywords
- Concept Tested: Disorders of Mood: Levels of Mood Elevation
- Stem keywords: intense sense, rapture
- Lead-in keywords: seen in
- Negative lead-in flag: false
Question ID
QLSoJ0EOivStxq0Zwu5sWQ
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. 3862-3864, 15345-15347, 8660-8662
Practise the full DSSSB -28 August 2019 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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