IGNOU Post B. SC. Nursing entrance-2019
Psychiatric Nursing
Easy
Perseveration is?
Appeared in: IGNOU Post B. SC. Nursing entrance-2019
Explanation
- Perseveration is defined as the persistent and inappropriate repetition of a response, such as a word, thought, or action.
- This repetition continues even when the stimulus that initially prompted the response is no longer present or has changed.
- It is considered a disorder of the thought process, distinct from other repetitive behaviors like compulsions or tics.
- This symptom is commonly observed in individuals with organic brain diseases, such as dementia, traumatic brain injury (especially to the frontal lobe), and certain forms of schizophrenia.
Why Other Options Were Wrong
- Option B: This is the definition of a phobia, which is an anxiety disorder, not a thought process disorder like perseveration.
- Option C: This defines a delusion, which is a disorder of thought content characterized by a fixed, false belief. Perseveration is a disorder of the thought process (the flow of thoughts).
- Option D: This describes a compulsion, which is a repetitive, ritualistic behavior performed to neutralize anxiety from an obsession. Unlike perseveration, compulsions are typically goal-directed (to reduce distress) and linked to obsessions.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition of Perseveration as background academic context rather than a clinical decision trigger.
- During a Mental Status Examination (MSE), nurses must assess for perseveration under the 'Thought Process' section. It provides clues to underlying neurological or psychiatric conditions.
- Nursing interventions for a patient with perseveration include using clear, concise communication, avoiding open-ended questions that may trigger repetitive answers, and gently redirecting the patient to a new topic or activity.
- What if? If a patient repeats a phrase because they are anxious and seeking reassurance, it might be more of an anxiety-related behavior than true perseveration. The key differentiator is that perseveration is an inability to switch mental sets, not necessarily a response to anxiety.
How to Approach the Question
- This is a factual recall question that tests your knowledge of psychiatric terminology.
- First, read the term in the question stem: 'Perseveration'.
- Define the term in your own words based on your knowledge. Perseveration means getting 'stuck' on a word, idea, or action.
- Evaluate each option against your definition.
- Option A, 'Persistent repetition of words', directly matches the core concept of perseveration.
- Eliminate the other options by identifying what they define: B is a phobia, C is a delusion, and D is a compulsion.
Concept Tested & Keywords
- Concept Tested: Definition of Perseveration
- Stem keywords: Perseveration
- Lead-in keywords: is
Question ID
Q-lWFcGI6xOuIiyLhBdCVC
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) p. 3797-3799
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1341-1343
Practise the full IGNOU Post B. SC. Nursing entrance-2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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