DSSSB 6 September 2024
Mental Health Nursing
Easy
What is the persistent repetition of words beyond the point of relevance in response to a stimulus called?
Appeared in: DSSSB 6 September 2024
Explanation
- Perseveration is the persistent and inappropriate repetition of a particular response, such as a word, phrase, or gesture, after the stimulus that prompted it has ceased.
- The key feature is the inability to switch from one concept or task to another, leading to the same answer for different questions.
- This is distinct from other speech patterns because the repetition is a response that was once relevant but is no longer appropriate.
- It is commonly observed in individuals with cognitive impairment, such as in dementia, schizophrenia, or after a traumatic brain injury.
Why Other Options Were Wrong
- Option A: Verbigeration is the meaningless and stereotyped repetition of specific words or phrases without an external stimulus. The question specifies the repetition is in response to a stimulus.
- Option B: Circumstantiality involves providing excessive and unnecessary details but eventually returning to the original point. It is a disorder of the flow of thought, not repetition.
- Option C: Tangentiality is when a person digresses from the topic and never returns to the original question. The focus is on losing the train of thought, not repeating a previous answer.
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 Process: Speech Patterns as background academic context rather than a clinical decision trigger.
- Recognizing perseveration is a key nursing assessment skill in mental health, as it can indicate the presence or worsening of underlying neurological or psychiatric conditions like schizophrenia, dementia, or frontal lobe injury.
- When a nurse observes perseveration, it should be documented accurately and reported, as it affects the patient's ability to communicate effectively and participate in their care.
- What if? - If the patient repeated a phrase over and over without being asked any questions (i.e., without a stimulus), the correct term would be Verbigeration. This distinction is important for accurate diagnosis and communication among the healthcare team.
How to Approach the Question
- First, break down the question stem to identify the core definition being described: 'persistent repetition of words', 'beyond relevance', and 'in response to a stimulus'.
- Next, recall the definitions of the four psychiatric terms provided in the options.
- Compare the definition in the stem with the definitions of each option.
- Perseveration is defined as repeating a response after the stimulus is no longer relevant, which directly matches the question.
- Eliminate the other options by contrasting their definitions: Verbigeration is repetition without a stimulus, Circumstantiality is getting to the point in a roundabout way, and Tangentiality is never getting to the point.
Concept Tested & Keywords
- Concept Tested: Disorders of Thought Process: Speech Patterns
- Stem keywords: persistent repetition, words, beyond relevance, response to a stimulus
- Lead-in keywords: What is... called?
- Negative lead-in flag: false
Question ID
Qau6oJd89p8EdmQ8RioJyK
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. 3795-3797
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 50-52
Practise the full DSSSB 6 September 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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