RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Mental Health Nursing
Easy
Following are true of obsessive compulsive neurosis except?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Explanation
- 'Ego syntonic' because this is the one characteristic that is NOT true of OCD.
- OCD is defined by being 'ego-dystonic,' meaning the obsessive thoughts and compulsions are unwanted, intrusive, and cause significant distress because they are inconsistent with the person's self-concept.
- In contrast, 'ego-syntonic' refers to thoughts or behaviors that a person views as consistent with their identity and values. This is a hallmark of Obsessive-Compulsive Personality Disorder (OCPD), not OCD.
Why Other Options Were Wrong
- Option A: Persistence is a defining feature of obsessions in OCD. The thoughts, urges, or images are recurrent and persist despite the individual's efforts to ignore or suppress them.
- Option B: Most individuals with OCD have 'good or fair insight' and recognize that their obsessive thoughts are irrational, excessive, and a product of their own mind. This recognition is a key diagnostic feature.
- Option D: A core part of the struggle in OCD involves actively trying to resist, ignore, suppress, or neutralize the intrusive obsessive thoughts. This internal battle is a source of significant anxiety.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Core characteristics of Obsessive-Compulsive Disorder (OCD) as background academic context rather than a clinical decision trigger.
- Distinguishing between ego-dystonic OCD and ego-syntonic OCPD is crucial for nurses, as the treatment approach and patient education differ significantly. OCPD patients are less likely to seek help as they don't see their traits as a problem.
- Patient education for OCD often involves explaining the ego-dystonic nature of the illness, which can be validating and help reduce self-blame.
- What if? If a patient presents with perfectionism and rigidity but is not distressed by these traits and instead sees them as productive, the diagnosis would lean towards OCPD (ego-syntonic) rather than OCD.
How to Approach the Question
- First, identify the keyword 'except'. This tells you to find the option that is FALSE or does not apply.
- Recall the core definition of Obsessive-Compulsive Disorder (OCD). The key features are intrusive, unwanted thoughts (obsessions) and repetitive behaviors (compulsions).
- Evaluate each option against the definition of OCD:
- Are the thoughts persistent? Yes, that's a hallmark of obsessions.
- Does the person see them as irrational? Yes, insight is typical.
- Does the person resist them? Yes, they try to suppress or neutralize them.
Concept Tested & Keywords
- Concept Tested: Core characteristics of Obsessive-Compulsive Disorder (OCD)
- Stem keywords: obsessive compulsive neurosis, true, except
- Lead-in keywords: except
- Negative lead-in flag: The question uses a negative frame ('except'), asking to identify the characteristic that does NOT apply to OCD.
Question ID
QMBQp540lFritM1tOBP11y
Reference Book
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) p. 240-242
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1341-1343
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 15579-15582
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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