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Psychiatry · Psychotic disorders: delusional mood
Sample itemIn the weeks before his first psychotic breakdown, a young man feels that something ominous and uncanny is about to happen and that the world has changed, but he cannot say what. Which phenomenon is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Delusional mood
Delusional mood (Wahnstimmung) is a vague, pervasive feeling that something significant and threatening is happening, often preceding a fixed delusion. Delusional perception is different because a real percept is given a sudden false meaning.
Option by option
A. Delusional mood (correct)
Correct. An unexplained ominous sense that the world has changed is delusional mood.
B. Delusional memory
Delusional memory is a false belief about the past that is recalled as a memory.
C. Delusional perception
Delusional perception needs a normal percept that is suddenly given a false private meaning.
D. Delusional intuition
Delusional intuition is a belief that arrives fully formed with no preceding thought or percept.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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