2nd Year GNM Nursing ODISHA Mental Health Nursing 2025

ODISHA NURSES & MIDWIVES EXAMINATION BOARD

SECOND YEAR ANNUAL EXAMINATION IN GNM-2025

Paper-III

(Mental Health Nursing)

Duration: 3 Hours 
Max.Marks:75

Answer all questions.
Figures in the right-hand margin indicate marks

I.     Solve answer question 

a. What is personality?
[3]
b. Write briefly about personality traits.
[5]
c. Describe the factors development. influencing personality
[7]

OR

a. What is phobic anxiety disorder?
[3]
b. Write down the signs, symptoms and aetiology of anxiety disorders.
[6]
c. Write the nursing management of a patient with phobic disorder.
[6]

a. What is personality? [3 marks]

Definition:
Personality is a relatively stable pattern of thinking, feeling and behaving that a person develops over their lifetime, which makes them unique and distinguishes them from others.

Key points to include:

  • It is enduring – not just a temporary mood or state, but consistent across time and situations.
  • It reflects how an individual interacts with their environment: how they perceive, think about, feel about, and behave in relation to the world and other people.
  • It includes the uniqueness of the individual — each person’s personality is different.

b. Write briefly about personality traits. [5 marks]

Personality traits are the characteristic ways in which a person tends to think, feel and behave; they are the building-blocks of personality.

Some important traits / models:

  • The Five-Factor Model (often called “Big Five”) identifies major trait dimensions:
    1. Openness to Experience – curiosity, creativity, willingness to try new things.
    2. Conscientiousness – being organised, responsible, disciplined.
    3. Extraversion – being outgoing, energetic, sociable.
    4. Agreeableness – being cooperative, trusting, warm.
    5. Neuroticism (Emotional Stability) – tendency to experience negative emotions, anxiety, moodiness.

Other traits / characteristics:

  • Positive/healthy personality traits include: communicating effectively, showing self-confidence, being independent, showing respect in relationships, non-impulsiveness.
  • Traits may be positive or negative (adaptive or maladaptive) depending on how they affect the person’s functioning and relationships.

How to write briefly (approx 5 points):

  1. Definition of trait: “a characteristic pattern of behaviour, thought or emotion that is consistent for the individual.”
  2. Mention the Big Five model and list the five traits.
  3. Note that traits exist on a spectrum (high ↔ low) and combine to form the overall personality.
  4. Give examples of healthy traits (responsibility, confidence, cooperation) and unhealthy traits (rigidity, impulsiveness).
  5. Emphasise relevance for nursing / mental health: traits affect how the person copes, interacts, manages stress, social relationships — thus understanding traits helps nursing assessment and care.

c. Describe the factors influencing development of personality. [7 marks]

Personality does not arise from a single cause. It develops through the interaction of multiple factors — biological, psychological and environmental. Here are key factors (you may choose ~6 or more) with brief description of each.

  1. Heredity / Genetic factors
    • Genetics provide the raw biological foundation (temperament, physical constitution, some predispositions).
    • For example, twin studies show that personality traits have significant heritability.
  2. Biological and Physical factors
    • Physical attributes (physique, health, maturity) and biological systems (eg endocrine glands) influence personality.
    • Example: thyroid, adrenal glands’ functioning may affect emotional reactivity, irritability, etc.
  3. Family and Home Environment
    • Family dynamics, parental attitudes, sibling relations, early attachment experiences shape personality.
    • Over-protective or neglectful parenting may lead to dependency or low self-esteem respectively.
  4. Social and Cultural Factors
    • Culture, social norms, community values, socioeconomic status influence how traits are expressed, and which behaviours are rewarded.
    • Peer groups, school environment, media also shape personality.
  5. Life experiences / Early experiences
    • Experiences of success/failure, trauma, significant life events (eg migration, loss) have lasting impact on personality development.
    • As personality is shaped over time, new experiences can modify traits.
  6. School, Teachers and Peer Groups
    • School is a major socialising institution; teacher behaviour, curriculum, peer interaction affect personality formation.
    • Peer groups often have strong influence especially in adolescence.
  7. Culture & Mass Media / Society
    • The broader societal context: cultural values, mass media messages, societal expectations influence how one sees oneself and behaves.

 

OR

a. What is phobic anxiety disorder? [3 marks]

Definition:
Phobic anxiety disorder (often called a “phobia”) is a type of anxiety disorder in which a person has a persistent, excessive and irrational fear of a specific object, situation, activity or environment.
The fear is out of proportion to the actual danger posed by the object or situation, the individual recognises (at least to some extent) that the fear is excessive, and the feared object/situation is either avoided or endured with marked distress.
Because of the avoidance or distress, the phobia interferes with the person’s normal routine, social activities or functioning.

Short answer you can write:

Phobic anxiety disorder is an anxiety condition characterised by a persistent, irrational fear of a specific object or situation, leading to avoidance or distress and significantly interfering with daily functioning.


b. Write down the signs, symptoms and aetiology of anxiety disorders. [6 marks]

Here we cover anxiety disorders generally (of which phobic disorders are a type), giving signs/symptoms and the aetiology (causes).

Signs & Symptoms:

Common features of anxiety disorders include:

·         Feeling nervous, restless or tense; sense of impending doom or danger.

·         Increased heart rate (tachycardia), rapid breathing (hyper-ventilation), sweating, trembling or shaking.

·         Muscle tension, fatigue, difficulty concentrating, irritability, sleep disturbance (difficulty falling or staying asleep).

·         Avoidance behaviours: Person may avoid places/situations that trigger anxiety. Especially in phobic disorders, anticipatory anxiety (fear even of thinking about the feared stimulus) can occur.

·         Physical/behavioural symptoms: e.g., sweating, nausea/upset stomach, dizziness, breathlessness.

Aetiology (Causes):

Anxiety disorders arise from a complex interaction of multiple factors (biological, psychological, social). Some key causes:

·         Genetic and familial vulnerability: Anxiety disorders often run in families, suggesting hereditary/biologic vulnerability.

·         Neurobiological factors: changes in brain circuits (e.g., the amygdala, prefrontal cortex) and neurotransmitter systems (GABA, serotonin, norepinephrine) have been implicated.

·         Early life experiences / developmental factors: Trauma, stressful life events, parenting style, early attachments influence risk.

·         Environmental & psychosocial stressors: Chronic stress, major life changes, cultural/socioeconomic factors may precipitate or exacerbate anxiety disorders.

·         Learned / behavioural factors: In phobic disorders especially, conditioning (learning fear via negative experiences) or modelling (observing someone else’s fearful reaction) may contribute.


c. Write the nursing management of a patient with phobic disorder. [6 marks]

Here are key nursing management steps for a patient with a phobic disorder. You can divide into Assessment, Planning & Interventions.
Nursing management:

1.      Assessment:

o    Establish a therapeutic nurse-patient relationship; ensure the patient feels safe and supported.

o    Assess level of anxiety/fear (mild, moderate, severe) and identify the specific phobic stimulus/triggers.

o    Collect objective data: vital signs (pulse, respiration), physical signs of anxiety (sweating, trembling).

o    Note avoidance behaviours, impact of phobia on daily life (social functioning, work, self-care).

o    Assess coping mechanisms, support systems, understanding of the disorder and previous treatments.

2.      Planning / Goals:

o    The patient will recognise and verbalise their fear/triggers.

o    The patient will gradually engage with the feared situation/object in a controlled manner (with reduced anxiety).

o    The patient will adopt effective coping strategies to manage anxiety.

o    The patient will maintain normal functioning in social/occupational roles to the best possible extent.

3.      Interventions:

o    Maintain a calm, non-threatening environment and nurse behaviour; avoid escalating anxiety.

o    Provide reassurance and remain with the patient during high anxiety episodes; reduce external stimuli if necessary.

o    Educate the patient (and family) about the nature of phobic disorder: what a phobia is, how avoidance reinforces anxiety, the role of exposure therapy/cognitive-behavioural techniques.

o    Collaborate with the multidisciplinary team (psychiatrist/psychologist) for therapy (especially behaviour therapy/exposure therapy) and medication as appropriate.

o    Facilitate gradual exposure (graded exposure) to the feared object/situation in a safe, controlled way; support the patient as anxiety decreases. (For example: think of the object → view pictures → approach the object/situation)

o    Teach relaxation techniques (deep breathing, progressive muscle relaxation), coping skills for anxiety management. Encourage self-help strategies (adequate sleep, avoiding caffeine/stimulants, physical activity).

o    Encourage the patient to keep a fear hierarchy and gradual exposure tasks (if guided by therapist), and monitor progress; evaluate and adjust care plan accordingly.

4.      Evaluation:

o    Monitor the patient’s level of anxiety in response to triggers over time; check whether avoidance behaviour is decreasing.

o    Determine if patient is using coping strategies effectively and functions better in daily life.

o    Review goals: e.g., “Patient will tolerate the feared situation with anxiety reduced to manageable level” – evaluate if met.

 

II. Solve Answer Questions 

a. What is Depression?
[2]
b. Write the causes, signs, symptoms of BPAD.
[7]
c. Describe the prognosis, medical and nursing management of a patient of BPAD.
[6]

OR

a. What is mental health nursing?
[3]
b. Write the principles of mental health nursing.
[5]
c. What are the mis conceptions about mentally ill persons?
[7]

a. What is Depression? [2]

Depression is a mood disorder characterised by a persistently low mood and/or loss of interest or pleasure in nearly all activities, lasting for at least two weeks and significantly affecting daily functioning.
In short: It is more than just feeling sad — it is a clinical condition affecting thoughts, sleep, appetite, concentration and ability to function.

b. Write the causes, signs, symptoms of BPAD (Bipolar Affective Disorder) [7]

Causes / Aetiology

·         Genetic/family predisposition: Bipolar Disorder often runs in families.

·         Neuro-biological / brain structure and function changes: differences in brain circuits, neurotransmitters, etc.

·         Environmental / psychosocial triggers: stress, trauma, major life changes may precipitate episodes.

·         Probably also a combination of the above (multi-factorial) — no single cause.

Signs & Symptoms
Symptoms vary depending on whether the person is in a manic/hypomanic episode or a depressive episode:

·         Manic/hypomanic phase: abnormally elevated or irritable mood; increased energy; decreased need for sleep; racing thoughts; talkativeness; grandiosity; risk-taking behaviour.

·         Depressive phase: feeling sad, hopeless; loss of interest/pleasure; low energy; sleep/appetite disturbance; difficulty concentrating; suicidal thoughts.

·         Rapid mood swings (in some cases ‘mixed’ features) from mania to depression.

·         Functional impairment: affects daily life, work, relationships.

c. Describe the prognosis, medical and nursing management of a patient of BPAD. [6]

Prognosis

·         Bipolar disorder is often episodic and lifelong; although periods of “normal” mood (euthymia) are possible, recurrences are common.

·         With proper treatment (medication + therapy) functional outcome improves; early intervention improves prognosis.

·         Risk of complications: such as suicide, social/occupational impairment, physical comorbidities.

Medical Management

·         Mood stabilisers (e.g., lithium, valproate) to prevent mood swings.

·         Antipsychotics (especially atypical) in manic episodes; possibly antidepressants cautiously in depressive phase (to avoid triggering mania).

·         Psychotherapy (e.g., cognitive behavioural therapy, interpersonal and social rhythm therapy) to support mood regulation and improve coping.

·         Lifestyle & psychoeducation: regular sleep, structured daily routine, stress-management, recognising early warning signs.

Nursing Management

·         Assessment: Monitor mood swings, sleep patterns, energy levels, risk of self-harm/suicide, medication adherence, social/occupational functioning.

·         Planning & Goals: Patient will recognise early signs of mood change; maintain stable mood; adhere to medication and therapy; maintain social and occupational functioning.

·         Interventions:

o    Establish therapeutic rapport and maintain a safe environment, especially during manic or depressive episodes.

o    Educate patient and family/caregivers about the disorder, treatment plan, importance of adherence, recognising triggers and early signs.

o    Support medication adherence: explain purpose, side-effects, monitor for adverse events.

o    Encourage lifestyle regularity: sleep hygiene, structured activities, avoiding stimulants, alcohol/substance misuse.

o    Facilitate psychotherapy/ counselling sessions, help patient develop coping strategies, stress management.

o    Monitor for signs of relapse and implement early intervention (e.g., notify doctor if sleep drastically reduces, mood elevates, or depression worsens).

·         Evaluation: Review whether the goals are being met (stable mood, less frequent/severe episodes, improved functioning); adjust nursing care plan accordingly.


OR

a. What is Mental Health Nursing? [3]

Mental health nursing is the branch of nursing concerned with promoting psychological well-being, preventing mental illness, and providing care for individuals, families and groups experiencing psychiatric or mental health problems, by using therapeutic nurse-patient relationships, evidence-based interventions and a holistic approach (biological, psychological, social).
In simpler terms: It is nursing work in the field of mental health — assessing, caring, supporting, rehabilitating people with mental health conditions and helping them achieve their highest possible level of mental well-being.

b. Write the principles of mental health nursing. [5]

Here are five key principles (you may choose any five as long as you clearly state them with brief explanation):

1.      Acceptance of the patient – Accept the person unconditionally for who they are, without judgment.

2.      Use of self-understanding – The nurse recognises their own feelings, attitudes and responses so as not to interfere with the therapeutic relationship.

3.      Consistency and security – Provide a predictable, safe and stable environment (consistent nurse behaviour, routines) to foster trust and emotional security.

4.      Reassurance and therapeutic communication – Use empathetic listening, clear explanation of procedures, and reassurance to reduce anxiety and build rapport.

5.      Holistic approach to the person – Consider the person beyond the illness: their physical health, social background, emotional needs, strengths and environment.

c. What are the misconceptions about mentally ill persons? [7]

Here are common misconceptions (myths) along with brief explanation/correction:

1.      Misconception: “People with mental illness are weak or lack willpower.”

o    Reality: Mental illnesses have biological, psychological and social causes; they are not simply a matter of willpower.

2.      Misconception: “Mental illness means low intelligence or incompetent.”

o    Reality: Mental illness can affect anyone regardless of intelligence or social status; many people with mental illness are highly functional.

3.      Misconception: “Once you have a mental illness, you’ll never recover / it cannot be treated.”

o    Reality: Many mental health conditions are treatable and people can and do recover or achieve good levels of functioning.

4.      Misconception: “People with mental illness are dangerous, violent or unpredictable.”

o    Reality: The vast majority are not violent; in fact they are more likely to be victims of violence.

5.      Misconception: “You either have a mental illness or you don’t — no in-between.”

o    Reality: Mental health exists on a continuum; one can have emotional problems and still function well, or have a diagnosis and still function.

6.      Misconception: “Medication is the only solution / therapy doesn’t work.”

o    Reality: Effective treatment often includes medications and psychotherapy + lifestyle/supportive interventions.

7.      Misconception: “People with mental illness can’t hold stable jobs or contribute to society.”

o    Reality: With appropriate treatment and support, many continue to work, live independently and contribute meaningfully.



III. Write short notes on any three of the following.

[3 x 5= 15]
i. Bulimia nervosa
ii. Adolescent crisis
iii. Hypersomnia
iv. Opioid used disorder
v. Legal responsibilities of a nursing personnel involved in the care of a mentally ill person.

i. Bulimia nervosa

Definition / Key features:

  • Bulimia nervosa is an eating disorder characterised by recurrent episodes of binge-eating (eating large amounts of food in a short time) followed by compensatory behaviours (purging via vomiting, laxatives, fasting, excessive exercise) to avoid weight gain.
  • Often the individual feels a lack of control during the binge, then guilt/shame.
    Important points for nursing/mental-health context:
  • Though serious and potentially life-threatening, recovery is possible.
  • It tends to develop in adolescence/young adulthood, more common in females, though can affect any gender.
    Why it matters in mental-health nursing:
  • Nutritional/physical complications (electrolyte imbalance, dental erosion, GI problems) can occur — nursing monitoring important.
  • Psychological aspects: body-image disturbance, comorbid mood/anxiety/substance use disorders.

ii. Adolescent crisis

Definition / Key features:

  • An adolescent crisis refers to a period of psychological disequilibrium in adolescence when the usual coping mechanisms fail and the person is unable to adapt to developmental, social or situational demands.
  • Adolescence itself is a stage of major physical, emotional, cognitive and social changes; multiple stressors (identity formation, peer pressure, academic demands, family conflicts) may precipitate a crisis.
    Important points for nursing/mental-health context:
  • It may be a maturational (developmental) crisis (expected in development) or situational (unexpected life event) in adolescence.
  • Nursing role: Recognise signs of distress, intervene early, support coping skills, refer appropriately.
    Why it matters in mental-health nursing:
  • Adolescents in crisis are at increased risk of self-harm, substance use, school drop-out, and mental disorders. Early nursing intervention can reduce long-term sequelae.

iii. Hypersomnia

Definition / Key features:

  • Hypersomnia is a sleep‐wake disorder characterised by excessive daytime sleepiness despite apparently sufficient (or even long) nocturnal sleep, and difficulty staying awake/alert during the day.
  • It may include prolonged night sleep (>11 h), frequent naps, difficulty waking up (“sleep drunkenness”), and reduced alertness.
    Important points for nursing/mental-health context:
  • Causes may be primary (idiopathic), secondary to other sleep disorders (e.g., sleep‐apnoea), medical/psychiatric conditions, medications.
  • Impacts: impaired functioning, academic/work performance, increased accident risk.
    Why it matters in mental-health nursing:
  • Nurses should assess sleep patterns, daytime sleepiness, underlying causes, educate about sleep hygiene, coordinate referral to sleep specialist if needed.
  • Recognising hypersomnia is important because it may mimic or co-occur with depression and other mental health conditions.

iv. Opioid use disorder

Definition / Key features:

  • Opioid use disorder (OUD) is a chronic mental‐health condition characterised by a problematic pattern of opioid use (prescription or illicit) leading to clinically significant impairment or distress (tolerance, withdrawal, continued use despite harm).
    Important points for nursing/mental-health context:
  • In an Indian context (and globally) the nursing staff play crucial roles in opioid dependence treatment: supervised dispensing of medication, observing signs of withdrawal/overdose, linking patients to treatment services.
  • Treatment involves medication-assisted therapy (e.g., opioid substitution therapy), psychosocial interventions, relapse prevention.
    Why it matters in mental-health nursing:
  • Nurses must monitor for complications (overdose, respiratory depression), provide patient/family education on safe use, manage withdrawal, support rehabilitation and relapse prevention.
  • Because OUD bridges physical, psychological and social domains, mental-health nursing must integrate holistic care.

v. Legal responsibilities of a nursing personnel involved in the care of a mentally ill person

Key legal/ethical responsibilities (especially within Indian context) include:

  • Understanding and implementing the Mental Healthcare Act, 2017: It guarantees rights of persons with mental illness (PMI), rights to access care, live in community, confidentiality, informed consent, advance directive, nominated representative.
  • Ensuring informed consent for admission and treatment; recognising capacity of patient as per law.
  • Maintaining confidentiality of patient information, except in legally specified situations (danger to others, court order).
  • Respecting rights: right to dignity, community living, freedom from cruel, inhuman or degrading treatment, free legal aid, etc.
  • Proper procedures for admission/discharge/leave/transfer of mentally ill persons, adhering to institutional protocols and law.
  • Keeping records/documentation, reporting use of restraints/seclusion where applicable, and ensuring the nurse’s practice is within legal/regulatory scope (e.g., nursing registration, scope of practice) and reporting any misconduct/negligence.
    Why this is important for nursing/mental-health care:
  • These responsibilities protect both the patient (rights, ethical treatment) and the nurse/institution (legal liability, professional accountability).
  • Understanding legal aspects enhances safe, ethical, effective care of persons with mental illness.

 

IV.  A. Write the responsibilities and role of a nurse in the following situations.

[2 x 5 = 10]
a. A patient with drug addiction.
b. Adolescent girl with suicidal tendencies.
c. An Alzheimer's patient
d. A lady with paranoid schizophrenia.
e. A patient preparing for ECT

a. A patient with drug addiction

  • Assess the pattern of substance use: type of drug, amount, duration, last intake, route of administration.
  • Monitor for withdrawal symptoms and complications (physical, psychological) and ensure patient safety.
  • Provide non-judgemental support and build a therapeutic relationship; educate the patient (and family) about addiction, its effects, risks and treatment options.
  • Facilitate detoxification and coordinate with the multidisciplinary team (physician, counsellor, social worker) for treatment plan, medication-assisted therapy if applicable.
  • Support relapse prevention: help patient identify triggers, develop coping skills, link to community resources/self help groups; encourage follow-up and adherence.

b. Adolescent girl with suicidal tendencies

  • Perform risk assessment: inquire about suicidal ideation, plans, means, previous attempts; assess environment for hazards.
  • Provide a safe environment: remove access to means of self-harm, continuous supervision if needed, place near nursing station or under observation.
  • Establish therapeutic rapport: listen empathically, validate feelings, avoid judgement, encourage disclosure of thoughts/feelings.
  • Educate family/caregivers about warning signs, coping strategies, support systems, emergency contact and follow-up care.
  • Collaborate with mental-health team (psychiatrist, psychologist), plan for interventions (therapy, medication if needed), and plan safe discharge with follow-up and community support.

c. An Alzheimer’s patient

  • Assess cognitive status, behaviour changes, functional ability (ADLs), safety risk (wandering, falls).
  • Ensure a safe, structured, calm environment: minimize confusion/triggers, use familiar objects and routines.
  • Support orientation and communication: use simple language, one step instructions, allow adequate time to respond.
  • Assist with and encourage independence in self-care as far as possible, but supervise to ensure safety.
  • Educate family/caregivers about disease progression, behaviour management, safety at home, and available support/respite services.

d. A lady with paranoid schizophrenia

  • Assess for symptoms: delusions (especially persecutory), hallucinations, level of insight, risk of harm, self-care, social functioning.
  • Build therapeutic relationship: remain calm, consistent, non-judgemental; use clear, simple communication; avoid arguing about delusions but focus on feelings.
  • Ensure safety: monitor for aggression/agitation, remove potential hazards, maintain low-stimulus environment if needed.
  • Support medication adherence and monitor side-effects, collaborate with psychiatrist/medical team; encourage involvement in psycho-education and social skills training.
  • Assist in rehabilitation and community integration: help with activities of daily living, socialization, family education about illness, relapse warning signs, and support networks.

e. A patient preparing for ECT (Electroconvulsive Therapy)

  • Provide education and emotional support: explain the procedure, expected benefits, side-effects, and obtain informed consent (or ensure it is done) from patient/guardian.
  • Pre-procedure preparation: ensure NPO status, remove jewelry/dentures/hearing aids, ensure patient has voided, check identity and pre-op checklist.
  • Monitor vital signs and baseline data, assess for any contraindications, collaborate with anesthetist/psychiatrist/ECT team.
  • Provide post-procedure care: monitor airway/breathing/circulation, orient the patient, assist with recovery from anaesthesia, observe for side-effects like memory disturbance or headache.
  • Educate patient and family about after-care, expectation of multiple sessions, importance of follow-up, and support in coping with possible cognitive side-effects.


B. Fill in the blanks.

[1 x 5 = 5 ]
i. The Indian mental health Act was passed in the year ____.
ii. Chlorpromazine belongs to ____ drugs.
iii. Repetition or mimicking phrases or words is known as _______.
iv. Presence of anxiety with severe motor restlessness is known as ______.
v. Rapid shift between topics that are unrelated to each other is called ______.

Answers :

i. 1987
ii. Antipsychotic
iii. Echolalia
iv. Akathisia
v. Flight of ideas

V.  A. Write the full forms of the following abbreviations.

[1 x 5 = 5]
i. NDPSA
ii. NIMHANS
iii. DER
iv. GAD
v. TNPRAnswer:

i. Korsakoff's syndrome occurs due to intake of opium — False
(It occurs due to chronic alcoholism and vitamin B1 (thiamine) deficiency.)

ii. Asclepiades of Bithynia advocated humane treatment of mental disorders — True

iii. Intense fear of becoming obese is seen in OCD — False
(It is seen in Anorexia Nervosa.)

iv. ECT is contraindicated in decreased intracranial pressure — False
(It is contraindicated in increased intracranial pressure.)

v. Thinking deeply about a small matter for a long period is known as thought block — False
(That is rumination, not thought block. Thought block means sudden stop in thinking.)

vi. Crisis means a period of intense difficulty — True

vii. Exhibition is a sexual disorder — True
(It is called Exhibitionism, a type of paraphilia.)

viii. Neuroleptic drugs are used in the treatment of psychosis — True

ix. Excessive sleeping in the day time is known as narcolepsy — True

x. Hallucination is misinterpretation of external stimuli — False
(That is illusion. Hallucination occurs without external stimuli.)

Answer:

i. NDPSANarcotic Drugs and Psychotropic Substances Act

ii. NIMHANSNational Institute of Mental Health and Neuro Sciences

iii. DERDrug Evaluation Report (In some nursing exam contexts, it may also refer to Daily Evaluation Record depending on syllabus usage.)

iv. GADGeneralized Anxiety Disorder

v. TNPRTemporary Note of Patient Record (In some nursing documentation systems, it may also be seen as Treatment and Nursing Progress Record.)



VI.  B. Write True/False.

[1 x 1 = 10 ]
i.     Korsakoff's syndrome occurs due to intake of opium
ii.    Asclepiades of Bithynia advocated humane treatment of mental disorders.
iii.   Intense fear of becoming obese is seen in OCD.
iv.   ECT is contraindicated in decreased intracranial pressure.
v.    Thinking deeply about a small matter for a long period is known as thought block.
vi.   Crisis means a period of intense difficulty.
vii.  Exhibition is a sexual disorder.
viii. Neuroleptic drugs are used in the treatment of psychosis.
ix.   Excessive sleeping in the day time is known as narcolepsy.
x.    Hallucination is misinterpretation of external stimuli.

Answer:

i. Korsakoff's syndrome occurs due to intake of opium — False
(It occurs due to chronic alcoholism and vitamin B1 (thiamine) deficiency.)

ii. Asclepiades of Bithynia advocated humane treatment of mental disorders — True

iii. Intense fear of becoming obese is seen in OCD — False
(It is seen in Anorexia Nervosa.)

iv. ECT is contraindicated in decreased intracranial pressure — False
(It is contraindicated in increased intracranial pressure.)

v. Thinking deeply about a small matter for a long period is known as thought block — False
(That is rumination, not thought block. Thought block means sudden stop in thinking.)

vi. Crisis means a period of intense difficulty — True

vii. Exhibition is a sexual disorder — True
(It is called Exhibitionism, a type of paraphilia.)

viii. Neuroleptic drugs are used in the treatment of psychosis — True

ix. Excessive sleeping in the day time is known as narcolepsy — True

x. Hallucination is misinterpretation of external stimuli — False
(That is illusion. Hallucination occurs without external stimuli.)

 

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