RRB Nsg. Superintendent-20 July 2019 (Shift-2)
Psychiatric Nursing
Easy
The condition in which false beliefs are firmly maintained even though they are not shared by others is called:
Appeared in: RRB Nsg. Superintendent-20 July 2019 (Shift-2)
Explanation
- A delusion is defined as a fixed, false belief that is held with strong conviction despite evidence to the contrary.
- The belief is not consistent with the person's cultural or religious background.
- The question's description of a 'false belief firmly maintained' directly matches the clinical definition of a delusion.
Why Other Options Were Wrong
- Option B: An illusion is a misinterpretation of a real, external sensory stimulus. The question describes a false belief (a thought process), not a sensory misinterpretation.
- Option C: A hallucination is a false sensory perception that occurs without any external stimulus. The question is about a false belief, which is a disorder of thought content, not perception.
- Option D: Delirium is an acute syndrome characterized by a disturbance in consciousness, attention, and cognition that develops over a short period. While a person with delirium might have delusions, delirium itself is a state of global confusion, not just a single false belief.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Disorders of Thought and Perception as background academic context rather than a clinical decision trigger.
- Accurately identifying and documenting whether a patient is experiencing a delusion, illusion, or hallucination is a critical nursing skill, as it informs the medical team about the nature of the patient's psychosis and helps guide diagnosis and treatment.
- When interacting with a patient experiencing delusions, nurses should not argue or challenge the belief. Instead, they should acknowledge the patient's experience and focus on the underlying feelings and reality-based aspects of the situation to build trust.
- What if? If the patient stated they saw the face of a demon in the patterns of the wallpaper, this would be an illusion (a misinterpretation of a real stimulus - the wallpaper pattern), not a delusion. The nursing approach would involve improving lighting and reducing ambiguous stimuli.
How to Approach the Question
- First, identify the core concept in the question stem. The key phrase is 'false beliefs'.
- Recognize that 'belief' relates to a person's thought content.
- Next, define each of the options in terms of the psychiatric phenomena they represent.
- Delusion is a disorder of thought content (a false belief).
- Illusion and Hallucination are disorders of perception (misinterpreting a stimulus or perceiving one that isn't there).
- Delirium is a disorder of consciousness and cognition.
Concept Tested & Keywords
- Concept Tested: Disorders of Thought and Perception
- Stem keywords: false beliefs, firmly maintained, not shared by others
- Lead-in keywords: is called
- Negative lead-in flag: false
Question ID
QWD6w_dDDahxUArAAvWHcS
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. 3249-3251, 3802-3804, 3815-3817
Practise the full RRB Nsg. Superintendent-20 July 2019 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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