LMSW Practice Test

What term describes false beliefs that are contrary to reality and held fiercely despite evidence?

1. Delusions

2. Hallucinations

3. Narcissistic injuries

4. Psychotic breaks

The correct answer is: Delusions

The correct term for false beliefs that are held firmly against evidence to the contrary is "delusions." Delusions are a key feature in various mental health conditions, particularly in psychotic disorders. These beliefs can be highly elaborate and insulating, often making it difficult for individuals to accept information or evidence that counters their beliefs. Delusions can manifest in various forms, such as paranoid delusions, where individuals may believe they are being persecuted, or grandiose delusions, where they may hold an inflated sense of self-importance. Hallucinations, on the other hand, refer to sensory experiences that appear real but are created by the mind, such as hearing voices or seeing things that are not present. Narcissistic injuries relate to an individual's wounded self-esteem or self-worth but do not refer to firm beliefs contrary to reality. Psychotic breaks are acute episodes of losing contact with reality, which may include delusions and hallucinations but are not a term that purely defines persistent false beliefs.