AIIMS Rishikesh & Jodhpur NO - 2017
Mental Health Nursing
Easy
In the following, which is not a sign of depression?
Appeared in: AIIMS Rishikesh & Jodhpur NO - 2017
Explanation
- Hopefulness, which is a feeling of optimism and positive expectation for the future, is the direct opposite of a depressive state.
- A core symptom of major depression is hopelessness, a pervasive belief that things are bad and will not get better.
- Elated moods are marked by feelings of well-being, optimism, and pleasure, which are contrary to depression (SRC_22186).
- Therefore, being hopeful is not a sign of depression and is instead a sign of mental well-being.
Why Other Options Were Wrong
- Option A: Anhedonia, the inability to feel pleasure from activities usually found enjoyable, is a hallmark and core diagnostic criterion for Major Depressive Disorder (SRC_22188).
- Option B: While 'Quit' is not a formal psychiatric term, it reflects behaviors and feelings common in depression, such as giving up, social withdrawal, lack of motivation, or suicidal ideation (SRC_22187).
- Option C: Feelings of helplessness are a key part of the 'cognitive triad' of depression, which consists of negative views about oneself, the world, and the future (SRC_22186).
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Signs and Symptoms of Depression as background academic context rather than a clinical decision trigger.
- Nurses must be able to recognize both overt and subtle signs of depression to facilitate early screening, referral, and intervention, as untreated depression increases morbidity and mortality.
- A key nursing role in mental health is to instill hope in patients, which is a therapeutic intervention that directly counteracts a core symptom of depression and is crucial for recovery.
- What if? A patient who previously expressed hopelessness suddenly appears calm and hopeful. While this could be a sign of recovery, it can also be a red flag for suicide risk (the patient may feel relief after making a decision to end their life). This requires immediate and careful assessment of suicidal ideation.
How to Approach the Question
- First, analyze the question's lead-in. The word 'NOT' is critical; you are looking for the outlier, the option that doesn't fit with the others.
- Next, define the central concept: 'depression'. Recall its main symptoms, which typically involve negative emotions, cognitions, and a loss of function.
- Evaluate each option against the core concept of depression.
- Anhedonia (loss of pleasure) is a classic symptom. Helplessness is a classic cognitive symptom. 'Quit' relates to giving up, also a symptom.
- Hopeful is a positive state, the direct opposite of the hopelessness seen in depression. This contrast makes it the correct answer.
Concept Tested & Keywords
- Concept Tested: Signs and Symptoms of Depression
- Stem keywords: sign of depression
- Lead-in keywords: not
- Negative lead-in flag: The question asks to identify the option that is NOT a sign of depression.
Question ID
Q0q7YgmtRZV1P2VcP_ZTen
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. 3861-3863, 1956-1958
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1216-1218
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.
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