NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 245
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1. An 8 year old child after a tonsillectomy sees a bear in her room. She screams in fright. A nurse who rushes in switches on the light, finds a rug wrapped on arm chair. She pacifies the child. what the child experienced was:
a. Delusion
b. Illusion
c. Hallucination
d. None of the above.
Answer: b. Illusion
Description:In this scenario, the child saw something in her room (the rug wrapped on an armchair) and misinterpreted it as a bear due to fear and possibly disorientation after the tonsillectomy. An illusion is a misperception or misinterpretation of a real external stimulus, which is what the child experienced in this case. Delusions and hallucinations involve false beliefs or perceptions that are not based on external stimuli, which do not apply to this situation.
2. Hallucinations are seen in all; EXCEPT:
a. Schizophrenia
b. Seizures due to intracerebral space occupying lesions
c. LSD
d. Anxiety
Answer: d. Anxiety
Description:Hallucinations are typically not associated with anxiety. Anxiety disorders may cause distressing thoughts and worries, but they do not typically lead to hallucinations, which are false sensory perceptions (e.g., hearing voices or seeing things that are not there). On the other hand: a. Schizophrenia is often associated with hallucinations, particularly auditory hallucinations. b. Seizures due to intracerebral space-occupying lesions can sometimes lead to hallucinations depending on the specific location and impact on the brain. c. LSD (a hallucinogenic drug) can induce hallucinations as a direct effect of the drug.
3. Auditory hallucinations not seen in:
a. Schizophrenia
b. Mania
c. Hysteria
d. Amphetamine toxicity
Answer: c. Hysteria
Description:Auditory hallucinations are not typically associated with hysteria. Auditory hallucinations are more commonly seen in conditions like schizophrenia (a), mania (b), and amphetamine toxicity (d). Hysteria is historically considered a now outdated and controversial diagnosis that encompassed a wide range of psychological symptoms, but it is not specifically linked to auditory hallucinations as the primary symptom. However, it's important to note that the concept of hysteria has evolved over time, and modern psychiatry uses different diagnostic criteria and terminology.
4. The delusion that things do not exist, a sense that everything is unreal is known as:
a. Delusion of grandiosity
b. Delusion of nihilism
c. Delusion of persecution
d. Delusion of haloness
Answer: b. Delusion of nihilism
Description:A delusion of nihilism is a false belief that things do not exist or that everything is unreal. This type of delusion is often associated with a sense of hopelessness and a belief that the world or the self has ceased to have any meaning or significance. Delusions of grandiosity (a) involve an inflated sense of self-importance, delusions of persecution (c) involve the belief that one is being harmed or persecuted, and "Delusion of haloness" (d) is not a recognized psychological term.
5. Altered perception of real objects in:
a. Illusion
b. Delusion
c. Hallucination
d. Delirium
Answer: a. Illusion
Description:An illusion refers to an altered perception of real objects or stimuli. It occurs when someone misinterprets or perceives something incorrectly while interacting with real external stimuli. Delusions (b) are false beliefs that are not based on external stimuli, hallucinations (c) are false sensory perceptions without external stimuli, and delirium (d) is a state of acute confusion and disorientation that may involve altered perceptions but is not specific to altered perception of real objects.
6. Lack of insight is not a feature of:
a. Panic disorder
b. Schizophrenia
c. Mania
d. Reactive psychosis
Answer: a. Panic disorder
Description:Lack of insight, which refers to a person's inability to recognize the true nature or severity of their mental health condition, is not typically a feature of panic disorder. Panic disorder primarily involves recurrent panic attacks and intense anxiety symptoms but does not usually involve a significant lack of insight into the condition. In contrast: Schizophrenia (b) can often involve a lack of insight into one's psychotic symptoms. Mania (c), as seen in bipolar disorder, can lead to impaired insight during manic episodes. Reactive psychosis (d), which can occur in response to a significant stressor, may also involve impaired insight depending on the severity of the condition.
7. Hallucination is caused by:
a. Gastrointestinal disorder
b. Mental illness
c. Disorder of reproductive organs
d. Infectious disease
Answer: b. Mental illness
Description:Hallucinations are typically caused by mental illnesses and conditions affecting the brain's functioning. They can be a symptom of various mental health disorders such as schizophrenia, bipolar disorder, major depressive disorder, and substance use disorders, among others. While some medical conditions or substances can also induce hallucinations (such as certain infectious diseases, drug use, or neurological disorders), the primary and most common cause of hallucinations is related to mental illness or psychiatric conditions.
8. A person seeing a design on the floor though it was fossil. It is an example of:
a. Illusion
b. Delusion
c. Hallucination
d. Idea of reference
Answer: a. Illusion
Description:In this scenario, where a person sees a design on the floor but mistakenly interprets it as a fossil, it is an example of an illusion. An illusion is a misperception or misinterpretation of a real external stimulus. The person is seeing a real design on the floor but is interpreting it incorrectly as a fossil. Delusion (b) refers to a false belief that is not based on external stimuli, hallucination (c) involves false sensory perceptions without external stimuli, and the idea of reference (d) is a belief that random events or objects have special meaning specifically for the individual, but it's not directly related to misinterpreting a visual stimulus like in an illusion.
9. A false unshakable belief is:
a. Illusion
b. Hallucination
c. Delusion
d. Derealization
Answer: c. Delusion
Description:A false, unshakable belief that is not based on reality is referred to as a delusion. Delusions are often characterized by their firmness and resistance to evidence or reasoning. They can take various forms, such as delusions of grandeur, persecutory delusions, or delusions of reference, among others. To clarify the other terms: An illusion (a) is a misperception or misinterpretation of a real external stimulus. A hallucination (b) is a false sensory perception without any external stimulus. Derealization (d) is a separate phenomenon characterized by a feeling that one's surroundings are unreal or distorted, but it doesn't necessarily involve false beliefs.
10. The most common type of hallucination seen in patients with mental illness is:
a. Gustatory hallucination
b. Auditory hallucination
c. Olfactory hallucination
d. Visual hallucination
Answer: b. Auditory hallucination
Description:Auditory hallucinations, which involve hearing voices or sounds when there is no external source, are the most common type of hallucination experienced by individuals with mental illnesses such as schizophrenia, bipolar disorder, and psychotic disorders.
11. Patient tells the nurse that the news announcer on TV is talking about me. The nurse documents this as:
a. Delusion of reference
b. Delusion of grandiosity
c. Delusion of persecution
d. Delusion of infidelity
Answer: a. Delusion of reference
Description:When a patient believes that ordinary events or stimuli in their environment have a special and personal significance directed at them, it is referred to as a "delusion of reference." In this case, the patient believes that the news announcer on TV is talking about them, which is an example of a delusion of reference. This delusion can be a symptom of various mental health conditions, such as schizophrenia or paranoid delusional disorder. The other options, including delusion of grandiosity (b), delusion of persecution (c), and delusion of infidelity (d), involve different types of false beliefs that are not specifically related to the patient's interpretation of external stimuli or events.
12. Mrs. Anita refuses to eat her breakfast in the hospital, stating that the food is poisoned. This is an example of:
a. Delusion of nihilism
b. Delusion of grandiosity
c. Delusion of persecution
d. Delusion of grandiosity
Answer: c. Delusion of persecution
Description:Mrs. Anita's belief that the food is poisoned and her refusal to eat is an example of a delusion of persecution. In this case, she believes that there is a plot or conspiracy against her, as she perceives a threat to her well-being through the supposed poisoning of her food. Delusions of persecution involve false beliefs that one is being harmed, harassed, or persecuted by others. This type of delusion is commonly seen in various mental health conditions, such as paranoid schizophrenia or paranoid delusional disorder.
13. When patient ideas are unshakable and persistent despite logical reasoning, they are called:
a. Delusion
b. Illusion
c. Confabulation
d. Obsession
Answer: a. Delusion
Description:When a patient has unshakable and persistent false beliefs that are not based on reality and are resistant to logical reasoning or evidence, these beliefs are called delusions. Delusions are a hallmark feature of several mental health conditions, and individuals with delusional thinking may remain convinced of their beliefs despite contrary evidence or logical arguments.
14. A patient expresses the belief that the Army is out to shoot him. This is an example of:
a. Delusion of grandiosity
b. Idea of reference
c. Delusion of persecution
d. Delusion of nihilism
Answer: c. Delusion of persecution
Description:The patient's belief that the Army is out to shoot him is an example of a delusion of persecution. In this type of delusion, individuals falsely believe that they are being harmed, harassed, or persecuted by others or a specific group, even when there is no actual evidence or basis for such a belief.
15. Delusion is a disorder of:
a. Thought
b. Perception
c. Insight
d. Cognition
Answer: a. Thought
Description:Delusion is a disorder of thought. It involves holding onto false, irrational, and unshakable beliefs that are not based on reality. Delusional thinking is a characteristic feature of certain mental health disorders and is related to how individuals process and interpret their thoughts and beliefs.
16. Persistent belief in something which is not a fact is:
a. Illusion
b. Hallucination
c. Delusion
d. Delirium
Answer: c. Delusion
Description:A persistent belief in something that is not based on facts and is resistant to change or contrary evidence is called a delusion. Delusions are a common symptom in various mental health conditions and involve holding false and often irrational beliefs that are not grounded in reality. To clarify the other terms: An illusion (a) is a misperception or misinterpretation of a real external stimulus. A hallucination (b) is a false sensory perception without any external stimulus. Delirium (d) is an acute state of confusion and disorientation, often due to a medical or neurological condition, and it can involve impaired perception and thinking but is not specifically characterized by persistent false beliefs like delusions.
17. A man hits his neighbor. Next day he feels that police is behind him and his brain is being controlled by radio waves by his neighbor. The probable diagnosis.
a. Though insertion
b. Passive feeling
c. Delusion of persecution
d. Obsessive compulsive disorder
Answer: c. Delusion of persecution
Description:The man's belief that the police are after him and that his neighbor is controlling his brain with radio waves indicates a delusion of persecution. Delusions of persecution involve false beliefs that one is being harmed, harassed, or persecuted by others, and these beliefs are typically not based on reality. This type of delusion is often associated with conditions such as schizophrenia or other psychotic disorders.
18. Persecutory delusion is a feature of:
a. OCD
b. Paranoid schizophrenia
c. Catatonic schizophrenia
d. BPAD
Answer: b. Paranoid schizophrenia
Description:Persecutory delusions, which involve false beliefs that one is being harmed, harassed, or persecuted by others, are a characteristic feature of paranoid schizophrenia. These delusions are a hallmark symptom of this subtype of schizophrenia. OCD (a) is primarily characterized by obsessions and compulsions, while catatonic schizophrenia (c) refers to a different subtype of schizophrenia characterized by severe motor disturbances. BPAD (d) typically refers to Bipolar Affective Disorder (Bipolar Disorder), which involves mood swings between mania and depression but is not primarily associated with persecutory delusions.
19. Loss of insight and judgment is seen in patients with:
a. Phobic disorder
b. Psychosis
c. Alcoholism
d. Dissociative disorder
Answer: b. Psychosis
Description:Loss of insight and judgment is commonly seen in patients with psychosis. Psychosis is a mental state characterized by a disconnection from reality, which can involve hallucinations, delusions, and impaired insight into one's mental condition. People experiencing psychosis may have difficulty recognizing that their thoughts, beliefs, or perceptions are not based in reality, which can lead to impaired judgment and decision-making. Phobic disorder (a) is primarily characterized by intense and irrational fears (phobias), but it doesn't necessarily involve loss of insight and judgment to the same extent as psychosis. Alcoholism (c) can impair judgment and insight, particularly when individuals are intoxicated, but it's not a mental disorder in itself. Dissociative disorders (d) involve disruptions in consciousness, identity, memory, and perception, but they may not always lead to a complete loss of insight and judgment.
20. Illusion is an:
a. False perception of non-existing stimuli
b. Though disorder
c. Misinterpretation of existing stimuli
d. Thought stoppage
Answer: c. Misinterpretation of existing stimuli
Description:An illusion is a misinterpretation of real, existing stimuli. It occurs when someone perceives something inaccurately or distorts their perception of an actual external stimulus. Illusions can create a false perception of an object or event that is present but is seen or interpreted differently from reality. This is different from hallucinations (a), which involve false perceptions of non-existing stimuli, and thought disorders (b) and thought stoppage (d), which are related to disturbances in thought processes rather than perceptual errors.
21. Olfactory and gustatory hallucinations are seen in:
a. Depression
b. Paranoia
c. Temporal lobe epilepsy
d. Alzheimer's disease
Answer: c. Temporal lobe epilepsy
Description:Olfactory and gustatory hallucinations are types of hallucinations related to the sense of smell and taste. They are most commonly associated with temporal lobe epilepsy, particularly complex partial seizures originating in the temporal lobe. During these seizures, individuals may experience unusual and often unpleasant smells or tastes that are not actually present in their environment. While other conditions like depression (a), paranoia (b), and Alzheimer's disease (d) can involve various types of hallucinations, olfactory and gustatory hallucinations are more specifically linked to temporal lobe epilepsy.
22. The hallucination in which the content is consistent with either a depressed or manic mood is called:
a. Somatic hallucination
b. Mood congruent hallucination
c. Mood-incongruent hallucination
d. Haptic hallucination
Answer: b. Mood congruent hallucination
Description:Mood congruent hallucinations are hallucinations whose content is consistent with the individual's emotional state or mood. In the case described, when the hallucination's content is consistent with either a depressed or manic mood, it would be classified as a mood congruent hallucination. This can occur in mood disorders such as depression or bipolar disorder when individuals experience hallucinations that match their prevailing emotional state. The other options: Somatic hallucination (a) involves false perceptions related to the body. Mood-incongruent hallucination (c) refers to hallucinations whose content is inconsistent with the individual's emotional state. Haptic hallucination (d) relates to false perceptions involving the sense of touch.
23. Type of delusion in which an individual feels extreme power, intelligence or fame is called, delusion of:
a. Persecution
b. Nihilism
c. Control
d. Grandiosity
Answer: d. Grandiosity
Description:Delusion of grandiosity is a type of delusion in which an individual holds an exaggerated belief in their own power, intelligence, importance, or fame. People with this delusion may believe they possess extraordinary abilities, have special knowledge, or are of exceptional significance in some way. This type of delusion is often seen in conditions like bipolar disorder during manic episodes and can also occur in other mental health disorders.
24. Rorschach’s projective test designed to measure?
a. Unconscious intentions
b. Dreams
c. Conscious desires
d. Brain size
Answer: a. Unconscious intentions
Description:The Rorschach inkblot test is a projective psychological test designed to measure an individual's unconscious thoughts, feelings, and intentions by analyzing their responses to a series of ambiguous inkblot images. It is used to gain insights into a person's personality, thought processes, and emotional functioning by examining the ways in which they interpret and describe the inkblots, which are open to subjective interpretation.
25. Part of the brain that is responsible for emotional aspects behavior is:
a. Cerebellum
b. Limbic system
c. Gyri and sulcus
d. Cerebrum
Answer: b. Limbic system
Description:The limbic system, often referred to as the "emotional brain," is responsible for various emotional aspects of behavior. It includes structures such as the amygdala, hippocampus, and hypothalamus, which play key roles in emotions, memory, and certain aspects of behavior and motivation. The cerebellum (a) is primarily involved in motor coordination, while gyri and sulci (c) are the folds and grooves on the surface of the cerebral cortex, which is part of the cerebrum (d), the largest and most complex part of the brain responsible for higher-order cognitive functions.
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