Which one of the following refers to a state of unresponsiveness from which arousal occurs only with vigorous and repeated stimulation?

Prepare for the American Board of Psychiatry and Neurology Exam. Practice with questions and detailed explanations to boost your confidence. Ensure your readiness for the big day!

Stupor is characterized by a state of unresponsiveness where an individual can be aroused only with vigorous and repeated stimulation. This means that the person is in a significantly reduced level of consciousness, often not responding to their environment or stimuli unless a strong external force is applied. This condition represents a more severe alteration of consciousness compared to lethargy, where individuals may still respond to stimuli but do so with decreased activity or alertness. In contrast, coma describes a deeper state of unresponsiveness where no amount of stimulation can elicit a response. Therefore, stupor specifically denotes the ability to be temporarily awakened from a largely unresponsive state through considerable efforts, making it the most accurate choice in this context.

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