08/27/2026
PMHNP Practice Question of the Day
A 24-year-old patient reports recurrent, intrusive thoughts that they might harm a family member. The patient describes these thoughts as disturbing and "not like me," recognizes them as irrational, and repeatedly tries to suppress them by counting silently. The patient is visibly distressed and states, "I know it doesn't make sense, but I can't stop thinking it." Which feature of this presentation BEST distinguishes an obsession from a delusion?
A. The thoughts are recurrent and preoccupying
B. The patient experiences the thoughts as ego-dystonic and attempts to resist them
C. The thoughts cause significant distress and impair functioning
D. The thoughts involve a theme of harm toward others
Find the correct answer as well as rationales for the incorrect responses at
A 24-year-old patient reports recurrent, intrusive thoughts that they might harm a family member. The patient describes these thoughts as disturbing and "not like me," recognizes them as irrational, and repeatedly tries ...