NIMHANS Nursing Officer - 2019
Mental Health Nursing
Easy
Delusion of grandeur is seen in?
Appeared in: NIMHANS Nursing Officer - 2019
Explanation
- Delusion of grandeur is a false belief in one's own superiority, greatness, or power.
- This type of delusion is a hallmark symptom of mania, which is characterized by an abnormally elevated or expansive mood and inflated self-esteem.
- According to Kaplan and Sadock's Synopsis of Psychiatry, delusions occur in 75% of manic patients, and mood-congruent delusions are often concerned with great wealth, extraordinary abilities, or power.
- The inflated self-concept and expansive thinking during a manic episode directly contribute to the formation of these grandiose beliefs.
Why Other Options Were Wrong
- Option B: Patients with depression typically experience mood-congruent delusions that are negative in nature, such as delusions of guilt, poverty, or nihilism.
- Option C: While delusions can be present in dementia, they are usually simple, persecutory, or involve misidentification, not grandiosity.
- Option D: 'Delusion' is the name of the symptom itself, not a clinical diagnosis in which the symptom appears. This makes it a logically incorrect choice.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Association of specific types of delusions with psychiatric disorders as background academic context rather than a clinical decision trigger.
- Identifying the specific content of a patient's delusion is a critical nursing assessment skill that aids in the differential diagnosis of psychiatric disorders.
- Patients with delusions of grandeur may engage in risky behaviors (e.g., reckless spending, dangerous activities) based on their false beliefs, posing a significant safety risk to themselves and others. Nursing care must prioritize safety and reality orientation.
- What if? If a patient presented with the belief that their internal organs were rotting, this would be a somatic and nihilistic delusion, pointing towards severe depression (potentially with psychotic features) rather than mania.
How to Approach the Question
- First, define the key term in the question: 'Delusion of grandeur' is a belief of being extremely important, powerful, or wealthy.
- Next, consider the core features of each option. Mania is defined by elevated mood and inflated self-esteem.
- Depression is characterized by low mood and feelings of worthlessness.
- Dementia involves cognitive decline.
- 'Delusion' is a symptom, not a disorder.
- Match the definition of delusion of grandeur with the characteristics of the disorders. The inflated self-esteem of mania is the most logical fit for grandiose beliefs.
Concept Tested & Keywords
- Concept Tested: Association of specific types of delusions with psychiatric disorders.
- Stem keywords: Delusion of grandeur
- Lead-in keywords: seen in
- Negative lead-in flag: false
Question ID
QhnxeJOVE2MCvh9EKdXDVB
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1173-1175
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 5394-5396, 13421-13423
Practise the full NIMHANS Nursing Officer - 2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Mood disorders Questions
- In depression, there is deficiency of:
- The following delusions are common in depression; EXCEPT:
- A very severe elevation of mood in a manic episode is:-
- According to ICD 10 most severe symptoms of depression.
- Assessment of severe depression in a client reveals feelings of hopelessness, worthlessness; inability to feel pleasure; sleep, psychomotor, and nutr…
- The hallucination in which the content is consistent with either a depressed or manic mood is called?
- 'Handy-Dandy this is my work. I want to shop apple pie custard pie' this is an example of?
- What is flight of ideas?
- Which of the following neurotransmitter is deficient in depression?
- In the following, which is not a sign of depression?
More NIMHANS Nursing Officer - 2019 Questions
- Which of the following measure showing in white blood count is indicating the patient is immunosuppressive and patient need to isolation?
- A pre-eclamptic women's baby is lying with her mother, when monitoring vital sign of baby, body temperature is low, what you will do for that?
- Find the odd one out.
- Postpartum period of 72 hours a purpura developed fever, with decrease skin integrity due to fluid loss and excessive vaginal secretions may indicati…
- The technician used for sterilization of instruments in a procedures. The cidex chemical used for sterilization will change after how many days?
- Medical Records are the property of?
- What Personal Protective Equipment is used when providing wound care to a MRSA patient?
- A patient is arriving in the emergency department after severe Haemorrhage. The sister in charge told the nursing sister to perform cannulation quick…
- Which of the following are measures of dispersion?
- A 1-day puerperal woman with excessive bleeding, what type of PPH is this?