Match List I with List II:List I: (A) Delusion of grandeur, (B) Delusion of persecution, (C) Delusion of guilt, (D) Nihilistic DelusionList II: (I) Patient does not accept the existence of his body, (II) Patient believes he is great, (III) Patient has fixed belief that family / friends want to kill him, (IV) Patient becomes self criticalChoose the correct answer:

1. A

   (A)-(II), (B)-(III), (C)-(IV), (D)-(I)

2. B

   (A)-(II), (B)-(III), (C)-(I), (D)-(IV)

3. C

   (A)-(III), (B)-(II), (C)-(IV), (D)-(I)

4. D

   (A)-(I), (B)-(III), (C)-(IV), (D)-(II)

Appeared in: BHU NO - 12 April 2024

Explanation

• Delusion of grandeur is a false belief in one's own greatness, power, or wealth, matching the description 'Patient believes he is great'.
• Delusion of persecution involves a strong, false belief that one is being harassed, threatened, or plotted against, which aligns with 'Patient has fixed belief that family / friends want to kill him'.
• Delusion of guilt is a false feeling of remorse or responsibility for a perceived sin or wrongdoing, corresponding to 'Patient becomes self critical'.
• Nihilistic delusion is the false belief that oneself, a part of one's body, or the world does not exist, which matches 'Patient does not accept the existence of his body'.

Why Other Options Were Wrong

• Option B: This option incorrectly matches Delusion of Guilt (C) with 'Patient does not accept the existence of his body' (I), which is the definition of a Nihilistic Delusion. It also incorrectly matches Nihilistic Delusion (D) with 'Patient becomes self critical' (IV), which describes a Delusion of Guilt.
• Option C: This option incorrectly matches Delusion of Grandeur (A) with 'Patient has fixed belief that family / friends want to kill him' (III), which is a Delusion of Persecution. It also incorrectly matches Delusion of Persecution (B) with 'Patient believes he is great' (II), which is a Delusion of Grandeur.
• Option D: This option incorrectly matches Delusion of Grandeur (A) with 'Patient does not accept the existence of his body' (I), which is a Nihilistic Delusion. It also incorrectly matches Nihilistic Delusion (D) with 'Patient believes he is great' (II), which is a Delusion of Grandeur.

Related Visual

Clinical Relevance

• Nursing practice connection: Prioritize focused assessment, early escalation, and real-time monitoring when managing Types of Delusions in Psychiatric Nursing in acute care settings.
• A nurse's ability to accurately identify the type of delusion is critical for assessing risk. A patient with persecutory delusions may pose a risk to themselves or others out of fear, requiring immediate safety interventions.
• Therapeutic communication techniques must be adapted based on the delusion. For a patient with delusions of grandeur, a nurse should not challenge the delusion directly but gently reorient them to reality.
• What if? If a patient exhibits a nihilistic delusion and refuses to eat, believing their stomach has disappeared, the nurse's priority is to address the physiological need for nutrition while also addressing the underlying thought disorder, possibly through nasogastric feeding if necessary, in consultation with the medical team.

How to Approach the Question

• First, read through the terms in List I (the types of delusions).
• Next, read through the descriptions in List II.
• For each term in List I, try to recall its definition. For example, 'Delusion of grandeur' means a belief of being very important or powerful.
• Scan List II to find the description that best fits your definition. 'Patient believes he is great' (II) is a perfect match for Delusion of Grandeur.
• Repeat this process for each term in List I, matching it to a description in List II.
• Once you have all four pairs (A-II, B-III, C-IV, D-I), look for the option that lists this exact combination.

Concept Tested & Keywords

• Concept Tested: Types of Delusions in Psychiatric Nursing
• Stem keywords: Delusion of grandeur, Delusion of persecution, Delusion of guilt, Nihilistic Delusion
• Lead-in keywords: Match List I with List II
• Negative lead-in flag: false

Question ID

QhiEDuSy1CMdbpLKE_-gJO

Copy ID

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. 3807-3809, 3249-3251, 4723-4725