RUHS, Jaipur, M.Sc Nursing Entrance Exam-2018
Psychiatric Nursing
Easy
Persistent or recurrent episodes of depersonalization are the central features of Depersonalization Disorder These symptoms are characterized by?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2018
Explanation
- The correct answer encompasses all the provided options because Depersonalization Disorder is defined by a collection of symptoms rather than a single one.
- The core feature is a feeling of detachment from one's self, as if being an outside observer of one's own mental processes or body (Option A).
- This sense of detachment often leads to a feeling of unreality, commonly described as living in a dream or a movie (Option B).
- A diminished sense of agency, or feeling like one is not in control of their actions (like a robot), is also a classic symptom (Option C).
- Since all individual options are correct descriptions of the disorder's features, 'All of the above' is the most complete and accurate choice.
Why Other Options Were Wrong
- Option A: This option is not incorrect; it is a primary symptom of Depersonalization Disorder. However, it is not the only symptom, making 'All of the above' a more comprehensive answer.
- Option B: This is a classic description of the sense of unreality (derealization) that often accompanies depersonalization. While correct, it is only one part of the clinical picture.
- Option C: This describes the loss of agency or feeling like an automaton, which is a valid symptom. However, it does not cover the full spectrum of symptoms listed in the other options.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The primary concept tested is the identification of the characteristic symptoms of Depersonalization Disorder, a type of dissociative disorder as background academic context rather than a clinical decision trigger.
- Recognizing the varied descriptions of depersonalization is crucial for diagnosis, as patients may struggle to articulate their 'ineffable' experiences and may fear being seen as 'crazy'.
- Nurses should prioritize creating a safe, non-judgmental environment and use grounding techniques (e.g., focusing on sensory input like touch or sound) to help anchor the patient in reality during an episode.
- It's important to differentiate these symptoms from psychosis. In depersonalization, reality testing remains intact; the person knows the feeling is a subjective experience, not a reality.
How to Approach the Question
- First, read the question stem carefully to identify the core topic: the characteristic symptoms of Depersonalization Disorder.
- Next, evaluate each option independently. Ask yourself, 'Is this a known symptom of depersonalization?'
- Option A (detachment from self) is the core definition. Option B (dream-like state) is a classic description. Option C (not in control) is another known feature.
- Recognize that all three options (A, B, and C) appear to be correct descriptions of the disorder.
- When multiple options are correct and an 'All of the above' choice is available, it is highly likely to be the correct answer.
- Select 'All of the above' as it provides the most complete and accurate description of the disorder's symptomatology.
Concept Tested & Keywords
- Concept Tested: The primary concept tested is the identification of the characteristic symptoms of Depersonalization Disorder, a type of dissociative disorder.
- Stem keywords: Depersonalization Disorder, persistent, recurrent episodes, symptoms
- Lead-in keywords: characterized by
Question ID
Qz2UKJ0F3iz6MTeCvSNRYT
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. 6455-6457, 6319-6321
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1410-1412
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