When patient’s ideas are an unshakable and persistent despite logical reasoning, they are called asWhen patient’s ideas are an unshakable and persistent despite logical reasoning, they are called as mcq  given below:


Q. When patient’s ideas are an unshakable and persistent despite logical reasoning, they are called as

(a) delusion
(b) illusion
(c) confabulation
(d) obsession

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🧠 Delusion in Psychiatry

Question: When a patient’s ideas remain unshakable and persistent despite logical reasoning or evidence, they are called:

Answer: (a) Delusion


📖 What is a Delusion?

Delusion is a fixed, false belief that is firmly held despite clear evidence proving it to be untrue.

👉 The person continues to believe it even after logical explanation or proof to the contrary.

Common examples include:

  • Believing someone is trying to harm them (Persecutory delusion)
  • Believing they are a famous person (Grandiose delusion)
  • Believing their partner is unfaithful without evidence (Jealous delusion)

🧠 Why is it Called a Delusion?

A delusion is:

  • ✔ False
  • ✔ Firmly held
  • ✔ Not changed by facts or reasoning
  • ✔ Common in psychotic disorders such as schizophrenia

❌ Why Other Options Are Wrong?

(b) Illusion
❌ A misinterpretation of a real external stimulus. Example: Mistaking a rope for a snake.

(c) Confabulation
❌ Filling memory gaps with fabricated stories without the intention to deceive. Common in conditions like Korsakoff syndrome.

(d) Obsession
❌ Recurrent, unwanted thoughts that the person recognizes as their own and usually knows are irrational.


📝 Differentiate the Terms

TermMeaning
DelusionFixed false belief despite evidence
IllusionMisinterpretation of a real stimulus
ConfabulationFalse memories used to fill memory gaps
ObsessionRecurrent unwanted intrusive thoughts

🧠 Memory Trick:
DELUSION = Doesn’t Listen to Logic 🧠❌
No matter how much evidence is given, the belief remains unchanged.

📌 Exam Tip: A delusion is a disorder of thought content, whereas an illusion is a disorder of perception.

💚 Exam Objective Nursing – Asha D
Concept clarity • Easy recall • Nursing success
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