PGIMER Sangrur NO - 2023
Mental Health Nursing
Easy
Which of the following disorder is commonly seen in rape victim girl?
Appeared in: PGIMER Sangrur NO - 2023
Explanation
- Post-Traumatic Stress Disorder (PTSD) is a mental health condition triggered by experiencing or witnessing a terrifying event, such as sexual assault.
- Rape is considered a major psychiatric emergency and a life-threatening stressor, which is the primary diagnostic criterion for PTSD.
- Victims are at a high risk of developing PTSD, exhibiting symptoms like intrusive memories (flashbacks), avoidance of reminders, negative mood, and hypervigilance.
- The cluster of symptoms often seen in rape survivors, sometimes called Rape Trauma Syndrome, is a specific form of PTSD.
Why Other Options Were Wrong
- Option A: Conversion Disorder involves unexplained neurological symptoms. While it can be triggered by stress, it is not the most common or primary diagnosis following rape compared to PTSD.
- Option B: Personality Disorders are enduring, long-term patterns of behavior and thinking that typically begin in adolescence or early adulthood. They are not an acute reaction to a single traumatic event like a recent rape.
- Option D: Euphoria is a state of intense happiness and well-being. This is the opposite of the expected emotional response to a violent and traumatic event like rape, which typically includes fear, anxiety, shame, and horror.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Psychological responses to sexual assault as background academic context rather than a clinical decision trigger.
- Nurses are often the first point of contact for victims of sexual assault. Recognizing the signs of acute stress and high risk for PTSD is critical for providing appropriate care and referrals.
- Implementing trauma-informed care is a core nursing responsibility. This means creating a safe environment, avoiding re-traumatization, and empowering the patient.
- What if? The victim appears calm, detached, and shows no emotion after the assault. This is not a sign of coping well; it is likely a dissociative symptom (numbing/detachment), which is a key feature of PTSD and indicates a high risk for developing the full disorder.
How to Approach the Question
- First, identify the core concept of the question: the most common psychological consequence of rape.
- Analyze the traumatic event described: Rape is an extreme, life-threatening stressor.
- Review the options based on their definitions. Consider the typical onset and cause of each disorder.
- Recall that PTSD is specifically defined as a disorder that follows exposure to a traumatic event. The symptoms of PTSD directly align with the expected reactions to such trauma.
- Eliminate Conversion Disorder as it's a less common, specific type of somatic symptom disorder.
- Eliminate Personality Disorder because it's a chronic condition, not an acute reaction.
Concept Tested & Keywords
- Concept Tested: Psychological responses to sexual assault
- Stem keywords: disorder, commonly seen, rape victim
- Lead-in keywords: Which
- Clinical cues: The question asks for the 'commonly seen' disorder, implying the most frequent diagnosis after a specific trauma (rape).
- Negative lead-in flag: false
Question ID
QoiIUtIlnAh85YPBXvaPd1
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. 8864-8866, 6342-6344
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 2556-2558
Practise the full PGIMER Sangrur NO - 2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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