NIMHANS Nursing Officer - 2019
Mental Health Nursing
Easy
The Condition in which inability to experience pleasure from pleasurable situation?
Appeared in: NIMHANS Nursing Officer - 2019
Explanation
- Anhedonia is the clinical term for the markedly diminished interest or pleasure in all, or almost all, activities.
- It is a core symptom of Major Depressive Disorder and is also recognized as a negative symptom in schizophrenia.
- The term directly translates to the inability to feel pleasure, which perfectly matches the question's description.
- It represents a deficit in the capacity to feel pleasure and take interest in things, rather than just a passing lack of interest.
Why Other Options Were Wrong
- Option B: Exaltation refers to an abnormally elevated, expansive, or euphoric mood. It is the opposite of the state described in the question.
- Option C: Dementia is a broad term for a decline in cognitive function, primarily affecting memory, language, and problem-solving. While a person with dementia may show apathy, it is not defined by the inability to feel pleasure.
- Option D: A delusion is a disorder of thought content, specifically a fixed, false belief that is held despite evidence to the contrary. It does not relate to a person's capacity to experience pleasure.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Psychiatric Terminology: Anhedonia as background academic context rather than a clinical decision trigger.
- Assessing for anhedonia is a fundamental part of any mental health nursing assessment. It is one of the two cardinal symptoms of depression.
- Nurses can ask direct questions like, "Have you lost interest or pleasure in things you used to enjoy?" to screen for anhedonia.
- The presence of anhedonia often indicates a more severe depressive episode and can be associated with a higher risk for suicidal ideation, requiring careful safety planning.
How to Approach the Question
- This is a factual recall question that tests your knowledge of psychiatric terminology.
- First, break down the question stem to its core meaning: "inability to experience pleasure."
- Next, review each option and match it to its definition.
- Anhedonia is the direct medical term for the inability to feel pleasure.
- Evaluate the other options to confirm they are incorrect. Exaltation is an elevated mood, dementia is cognitive decline, and a delusion is a false belief. None of these match the stem.
- Therefore, select the option that is the precise definition of the phenomenon described.
Concept Tested & Keywords
- Concept Tested: Psychiatric Terminology: Anhedonia
- Stem keywords: inability to experience pleasure, pleasurable situation
- Lead-in keywords: Condition
Question ID
QX8hBrG_q1YALSOCfLhQqK
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. 1680-1682, 4730-4732
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1407-1409
Practise the full NIMHANS Nursing Officer - 2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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