IGNOU PB Bsc Entrance-2023
Mental Health Nursing
Easy
Delusional disorder commonly found in paranoid schizophrenia is:
Appeared in: IGNOU PB Bsc Entrance-2023
Explanation
- The most common type of delusion in schizophrenia is persecutory.
- According to psychiatric literature, delusions of persecution are endorsed by up to 80% of inpatients with schizophrenia.
- This type of delusion involves a fixed, false belief that one is being followed, harassed, cheated, poisoned, or conspired against.
- The term 'paranoid' in paranoid schizophrenia directly refers to the presence of these persecutory or grandiose delusions in the absence of disorganized thought or affect.
Why Other Options Were Wrong
- Option A: This is a false belief of inflated self-worth, power, or importance. While it can be present in schizophrenia, it is not the most common type.
- Option C: This is a belief that one has committed a terrible sin or is responsible for a disaster. It is a mood-congruent delusion.
- Option D: This is a belief that oneself, others, or the world is non-existent or ending. It is a rare and extreme form of delusion.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Types of delusions and their association with specific psychiatric disorders, particularly paranoid schizophrenia as background academic context rather than a clinical decision trigger.
- Recognizing the specific type of delusion is crucial for risk assessment; patients with persecutory delusions may act defensively or aggressively out of fear, posing a risk to themselves or others.
- This knowledge guides nursing interventions. For a patient with persecutory delusions about food being poisoned, the nurse should offer pre-packaged or sealed food items to build trust and ensure nutrition.
- What if? If a patient presents with prominent persecutory delusions but also has significant, persistent depressive symptoms and social withdrawal, the diagnosis might be Schizoaffective Disorder, Depressive Type, rather than just paranoid schizophrenia. This would necessitate treatment with both antipsychotics and antidepressants.
How to Approach the Question
- First, identify the key terms in the question: 'Delusional disorder', 'commonly found in', and 'paranoid schizophrenia'.
- Focus on the word 'paranoid'. This term inherently implies themes of suspicion, mistrust, and the belief of being targeted by others.
- Evaluate each option in light of the term 'paranoid'.
- A 'delusion of persecution' is the belief that one is being persecuted, which directly aligns with the concept of paranoia.
- Consider the other options. 'Grandeur' relates to inflated self-importance (mania), while 'guilt' and 'nihilistic' delusions are strongly linked to severe depression.
- By matching the core meaning of 'paranoid' with the definitions of the delusions, you can identify 'delusion of persecution' as the most common and fitting answer.
Concept Tested & Keywords
- Concept Tested: Types of delusions and their association with specific psychiatric disorders, particularly paranoid schizophrenia.
- Stem keywords: Delusional disorder, paranoid schizophrenia
- Lead-in keywords: commonly found in
- Negative lead-in flag: false
Question ID
QGrJ187Q5Y6EBqjiCuF168
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. 3803-3805, 4722-4724, 4723-4725
Practise the full IGNOU PB Bsc Entrance-2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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