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

131. A patient diagnosed with Schizophrenia is consistently expressing paranoid thoughts, believing that nurses are deliberately trying to harm him. Which of the following interventions would be MOST appropriate for the nurse to implement?

     कA) Encourage the patient to challenge these thoughts by asking him direct questions about his concerns. खB) Immediately administer a benzodiazepine to reduce anxiety and agitation. गC) Maintain a calm, empathetic approach while carefully observing the patient’s behavior and ensuring personal safety. घD) Refer the patient immediately for psychiatric hospitalization without further assessment.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

132. A patient presents to the mental health clinic expressing feelings of profound hopelessness and worthlessness, stating they 'can’t see any point in continuing.' According to the DSM-5 criteria for Major Depressive Disorder, which of the following BEST describes this patient's presentation?

     कA) Psychotic episode with hallucinations and delusions of grandeur. खB) Persistent depressive disorder with prominent feelings of sadness and loss of interest. गC) Generalized anxiety disorder characterized by excessive worry and restlessness. घD) Substance-induced mood disorder due to recent alcohol consumption.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

133. A client with severe depression states, 'I don’t see any point in going on. Life is meaningless.' What is the MOST appropriate initial nursing response?

     क‘You are feeling hopeless, which is understandable given your situation.’ ख‘Tell me about what makes you feel that way – let's explore those feelings together.’ ग‘Suicide is never the answer; we can help you find a reason to keep going.’ घ‘Your thoughts sound very dark. Let’s focus on something positive.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

134. During an assessment of a client with Schizophrenia who reports hearing voices, which nursing action demonstrates the BEST therapeutic response?

     क‘I understand this must be frightening for you. Let’s talk about something else.’ ख‘Tell me more about these voices – where do they come from, and what are they saying?’ ग‘These voices aren’t real; they're just a symptom of your illness.’ घ‘Let's try to distract you with a calming activity like listening to music.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

135. A client with a history of bipolar disorder presents with extreme irritability, pressured speech, and inflated self-esteem. Which stage of the DSM-5 criteria for manic episode is MOST prominently demonstrated in this presentation?

     कMood elevation खPsychotic features गCognitive changes घBehavioral agitation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

136. A client diagnosed with schizophrenia is expressing paranoia, stating 'They are watching me; they want to hurt me.' What should the nurse's FIRST action be?

     कImmediately administer an antipsychotic medication as prescribed by the physician खAttempt to reason with the client and explain that no one is trying to harm them गMaintain a calm and empathetic approach while monitoring the client’s behavior closely घRemove all potential objects from the room that could be perceived as threatening
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

137. A nurse is caring for a patient experiencing acute anxiety. The patient reports feeling overwhelmed by racing thoughts and difficulty concentrating. Which intervention would be MOST appropriate to help the patient regain control?

     कAdminister a sedative medication as prescribed by the physician खEncourage the patient to engage in deep breathing exercises and relaxation techniques गProvide detailed information about the patient's medical condition and treatment plan घMaintain eye contact with the patient while offering reassurance that everything will be alright
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

138. A client diagnosed with Obsessive-Compulsive Disorder (OCD) repeatedly washes their hands due to a fear of contamination. What is the MOST important nursing intervention?

     कEncourage the client to resist washing their hands. खTeach the client relaxation techniques to reduce anxiety related to contamination. गCollaborate with the client and family to develop a plan for managing compulsions. घAdminister medication as prescribed to suppress obsessive thoughts.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

139. Which of the following statements BEST describes the therapeutic relationship in mental health nursing?

     कA strictly professional and objective interaction based solely on clinical knowledge. खA collaborative partnership built on trust, empathy, and mutual respect between the nurse and client. गA hierarchical relationship where the nurse dictates treatment without considering the client's perspective. घA temporary agreement focused solely on achieving specific therapeutic goals.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

140. A client recently discharged from inpatient mental health care expresses feelings of hopelessness and worthlessness while stating they have no plans to harm themselves. What is the nurse’s FIRST action?

     कAdminister a benzodiazepine to reduce anxiety. खEncourage the client to engage in activities they enjoy. गImmediately initiate suicide precautions, including restricting access to potentially harmful objects. घConduct a thorough assessment of the client's current situation and risk factors.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।