NHM UP Staff Nurse-2021 Shift-2nd
Mental Health Nursing
Easy
The signs and symptoms of hysteria includes all the following except
Appeared in: NHM UP Staff Nurse-2021 Shift-2nd
Explanation
- The question asks to identify the option that is NOT a symptom of hysteria.
- Appropriate thinking and decision-making represents normal, healthy cognitive functioning.
- Hysteria, now termed conversion or dissociative disorder, is a psychiatric condition characterized by a disruption in normal consciousness, memory, identity, or perception.
- Patients often exhibit impaired judgment, amnesia, or a lack of insight (e.g., 'la belle indifférence'), which is the opposite of appropriate thinking.
Why Other Options Were Wrong
- Option A: Anxiety is a common underlying cause and an accompanying symptom of conversion disorders. The psychological conflict and distress often manifest as anxiety.
- Option B: Fainting, or psychogenic syncope, is a classic conversion symptom. It represents a dissociative state where the patient loses consciousness due to psychological stress, not a physiological cause.
- Option C: Seizure-like movements, known as Psychogenic Non-Epileptic Seizures (PNES), are a hallmark of conversion disorder. They mimic epileptic seizures but have no underlying neurological cause.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Signs and symptoms of Hysteria (Conversion Disorder) as background academic context rather than a clinical decision trigger.
- Nurses must be skilled in differentiating between organic (e.g., epilepsy) and psychogenic symptoms to ensure appropriate and safe care. This involves careful observation and history taking.
- The primary nursing goal is to establish a therapeutic relationship, ensure patient safety during episodes, and help the patient connect their physical symptoms with underlying emotional stress.
- It is crucial to manage these patients with a non-judgmental attitude, acknowledging the reality of their symptoms while gently guiding them toward psychological care.
How to Approach the Question
- First, identify the keyword 'except' in the question stem. This indicates you are looking for the option that does not fit with the others.
- The core concept is 'hysteria'. Recall that this is an older term for conditions where psychological stress causes physical symptoms (like conversion disorder).
- Evaluate each option: Is it a plausible symptom of a mind-body disconnect?
- Anxiety (emotional distress), fainting (loss of consciousness), and seizure-like movements (loss of motor control) are all plausible physical or psychological manifestations of severe stress.
- Consider 'Appropriate thinking and decision making'. This describes a state of mental health and clarity, which is the opposite of a psychiatric symptom or disorder.
- Conclude that appropriate thinking is the exception and therefore the correct answer.
Concept Tested & Keywords
- Concept Tested: Signs and symptoms of Hysteria (Conversion Disorder)
- Stem keywords: signs and symptoms, hysteria
- Lead-in keywords: except
- Negative lead-in flag: Question asks for the exception
Question ID
QtbtOt1IpfpzQRG98QgXPM
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1455-1457
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 6096-6098
Practise the full NHM UP Staff Nurse-2021 Shift-2nd
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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