मानसिक स्वास्थ्य नर्सिङ – Mental Health Nursing MCQ

मानसिक स्वास्थ्य नर्सिङ: प्रश्न र उत्तर

सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।

सही: ० / ०

1. A client with psychosis has heard voices that they believe are critical of them. Which therapeutic communication technique would demonstrate empathy and reduce the client's distress?

   कA) Directly challenge the reality of the voices by stating, ‘Those voices aren’t real.’ खB) Reflect back the content of the voices while maintaining a neutral tone: 'It sounds like you are hearing voices telling you negative things about yourself.' गC) Ask the client to identify the source of the voices and offer reassurance that they will disappear. घD) Ignore the statements made by the voices, focusing solely on the client’s behavioral responses.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

2. A patient admitted for treatment of anxiety displays significant physical manifestations including increased heart rate, muscle tension, and restlessness. Which non-pharmacological intervention would be MOST appropriate to facilitate relaxation?

   कA) Encourage the client to engage in competitive sports to release energy. खB) Facilitate a guided imagery exercise focusing on calming scenes and breathing techniques. गC) Assign tasks requiring physical exertion to promote mental focus. घD) Provide detailed instructions for cognitive restructuring techniques immediately.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

3. A client with bipolar disorder presents with a manic episode characterized by pressured speech, inflated self-esteem, and racing thoughts. Which nursing intervention would be MOST beneficial in helping the client manage their symptoms?

   कA) Implement strict bed rest to reduce stimulation. खB) Encourage the client to engage in creative activities to channel energy. गC) Provide a structured daily routine with regular periods of quiet activity. घD) Offer reassurance that the client’s elevated mood is normal and will eventually subside.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

4. A patient with severe depression reports feeling hopeless about the future and expresses suicidal ideation. Which of the following nursing actions is paramount in the initial response?

   कA) Immediately administer an antipsychotic medication as prescribed. खB) Encourage the patient to verbalize their feelings and engage in problem-solving techniques. गC) Assess the patient’s intent, method, and access to lethal means, and ensure immediate safety measures are implemented. घD) Offer reassurance that things will get better and focus on positive aspects of their life.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

5. A client with schizophrenia presents with disorganized thought processes, including tangential speech and illogical associations. Which nursing intervention demonstrates the MOST appropriate response to this presentation?

   कA) Encourage the client to focus on a specific topic to reduce confusion. खB) Maintain a calm and quiet environment to minimize stimulation. गC) Allow the client to continue speaking freely without interruption to facilitate thought flow. घD) Gently redirect the client’s statements back to the original topic with clear, concise instructions.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

6. A patient with psychosis exhibits disorganized speech patterns – frequently jumping between topics and using illogical connections. Which nursing intervention would be MOST appropriate?

   कMaintain a consistent, predictable routine to minimize confusion खEncourage the patient to elaborate on their thoughts, promoting cognitive engagement गAvoid direct questions that might elicit further disorganization घProvide a quiet, structured environment with minimal distractions
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

7. A client with a history of major depressive disorder expresses hopelessness about their future. During the conversation, they state, 'What's the point? Nothing ever gets better.' Which response from the nurse would be MOST therapeutic?

   क‘You are feeling very sad today; it’s important to talk about how you’re feeling.’ ख‘I understand you feel hopeless, but there is always something to look forward to.’ ग‘Tell me more about what makes you feel this way and let's explore some possible solutions.’ घ‘Your feelings will pass. Try to focus on the positive aspects of your life.’
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

8. A patient recently diagnosed with bipolar disorder is experiencing manic symptoms including grandiose ideas, racing thoughts, and impulsive spending. Which of the following interventions would be MOST crucial to implement immediately?

   कEncourage the patient to write down their ideas to help organize them खImplement a structured routine and limit exposure to stimulating environments गProvide the patient with access to financial resources to support their impulsive spending habits घMaintain frequent one-on-one contact with the patient, offering constant reassurance and monitoring
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

9. A client admitted for acute anxiety states expresses significant distress about perceived threats to their safety. Which of the following therapeutic approaches would be MOST appropriate in this scenario?

   कEncourage the client to verbalize their fears and anxieties without interruption खProvide a structured activity schedule to minimize stimulation and reduce anxiety गEmploy relaxation techniques such as deep breathing or progressive muscle relaxation to manage physiological symptoms घOffer reassurance that everything is 'okay' and attempt to directly challenge the client’s paranoid beliefs
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

10. A client with schizophrenia is experiencing hallucinations and delusions related to paranoia and distrust. The nurse recognizes that an environment characterized by predictability, routine, and clear boundaries would be MOST beneficial in reducing the client's anxiety and promoting a sense of safety. Which setting best supports this approach?

    कA chaotic, open-plan ward with frequent social interaction खA quiet room with minimal distractions and consistent routines गA busy activity area with opportunities for group work घAn environment that encourages clients to explore their creative interests freely
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।