A nurse is assessing a patient who believes they are the most important person in the world and can control everything around them. This is indicative of:

Question

Question

This question was previously asked in

AIIMS NORCET 7 Prelims Memory Based Paper 2024

Answer 1

Correct Answer: Delusion of grandeur

Rationale:

A delusion of grandeur is a false belief in one's own superiority, greatness, or intelligence. Individuals with this type of delusion may believe they have special powers, unique knowledge, or are famous or important figures.
The patient described in the statement believes they are the most important person in the world and can control everything around them, which aligns with the characteristics of a delusion of grandeur.

Explanation of Other Options:

Delusion of persecution

Rationale: A delusion of persecution involves the belief that one is being targeted, harassed, or persecuted by others. Individuals with this delusion may think that someone is out to harm them or is plotting against them, which is different from the belief of self-importance and control described in the statement.

Delusion of reference

Rationale: A delusion of reference involves the belief that insignificant remarks, events, or objects in one's environment have personal and significant meaning. For example, a person might believe that a news anchor is speaking directly to them through the TV, which is not consistent with the belief of being the most important person or having control over everything.

Hallucination

Rationale: A hallucination is a perception in the absence of external stimuli, such as hearing voices or seeing things that are not there. This is different from a delusional belief, which is a fixed, false belief not shared by others. The statement describes a belief, not a perception, so hallucination is not the correct answer.

Conclusion:

The patient's belief that they are the most important person in the world and can control everything around them is indicative of a delusion of grandeur. This type of delusion involves an inflated sense of self-worth and power, which matches the description provided.