IGNOU PB Bsc Nsg.Entrance-2026
Mental Health Nursing
Medium
Insight is intact in all, except:
Appeared in: IGNOU PB Bsc Nsg.Entrance-2026
Explanation
- Psychosis is a mental state characterized by a disconnection from reality, which can manifest as delusions (false beliefs) and hallucinations (sensory experiences that are not real).
- A core and defining feature of psychosis is impaired or absent insight. The individual does not believe they are ill and perceives their psychotic experiences as real.
- This lack of awareness is a key diagnostic feature and is strongly associated with poor treatment adherence and worse clinical outcomes.
Why Other Options Were Wrong
- Option A: In a phobia, which is a type of anxiety disorder, the individual is acutely aware that their fear is excessive and irrational compared to the actual danger posed by the object or situation. This awareness signifies that insight is intact.
- Option B: Neurosis is a broad historical term for a class of mental disorders where the individual experiences distress but does not lose contact with reality. Patients with neurotic conditions are aware of their suffering and that their experiences are abnormal, meaning insight is present.
- Option C: In Obsessive Compulsive Disorder (OCD), individuals typically recognize that their obsessive thoughts are intrusive and unwanted, and that their compulsive behaviors are excessive or unreasonable. This recognition demonstrates that insight is present, even if they feel unable to control the compulsions.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Patient insight in different psychiatric disorders as background academic context rather than a clinical decision trigger.
- Assessing a patient's level of insight is a fundamental nursing responsibility in mental health. It directly impacts treatment planning, as a patient with poor insight is less likely to adhere to medication and therapy.
- Lack of insight is a significant predictor of relapse, re-hospitalization, and poor long-term social and occupational functioning in patients with psychotic disorders.
- Nurses must use therapeutic communication techniques to build rapport and gently educate patients, which can sometimes help in fostering a basic level of insight over time.
How to Approach the Question
- First, identify the negative framing of the question. The word 'except' means you are looking for the one option that does not fit the description of having 'intact insight'.
- Define the key term: 'Insight' in a psychiatric context refers to a person's awareness and understanding of their own illness.
- Evaluate each option based on this definition. Ask yourself: 'Does a person with this condition typically know they are ill and that their symptoms are abnormal?'
- For Phobia, Neurosis, and OCD, the answer is generally 'yes'. Patients are aware their fears or behaviors are irrational.
- For Psychosis, the answer is 'no'. A core feature is the loss of contact with reality and a lack of awareness that one is ill.
- The option that is the exception is Psychosis, making it the correct answer.
Concept Tested & Keywords
- Concept Tested: Patient insight in different psychiatric disorders
- Stem keywords: Insight, intact
- Lead-in keywords: except
- Negative lead-in flag: The question uses 'except', asking for the condition where insight is NOT intact.
Question ID
QjDeGRe3UwOmZFQqc4GLUR
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. 4751-4753, 5273-5275
Practise the full IGNOU PB Bsc Nsg.Entrance-2026
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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