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

161. A patient with severe depression presents with significant suicidal ideation. The nurse’s FIRST action should be:

     कAdminister an antidepressant medication as prescribed. खImmediately implement safety measures such as restricting access to potential means. गEngage in active listening and empathetic communication. घContact the client’s family members for support.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

162. A client experiencing acute psychosis is displaying disorganized thought processes with tangential speech. The nurse observes the client attempting to draw complex, abstract images on their bedsheets. Which response BEST demonstrates therapeutic communication?

     क‘Those drawings are very impressive. Can you tell me about them?’ ख‘I’m concerned that you're drawing on the bed. Please don’t do that.’ ग‘Let’s try to focus on a simpler task, like identifying colors.’ घ‘These images seem to represent your current feelings. Tell me more about them.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

163. A patient is admitted to the psychiatric unit exhibiting paranoia and delusions related to a perceived threat from neighbours. Which of the following nursing interventions is MOST crucial in addressing these concerns?

     कImmediately medicate the client with an antipsychotic medication. खAllow the client to verbalize their fears and beliefs without interruption. गImplement a distraction technique such as offering a warm beverage. घAttempt to reason with the client about the unreality of their delusions.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

164. A client diagnosed with Schizophrenia exhibits flat affect and limited speech. Which nursing intervention would be MOST appropriate at this time?

     कAdminister the prescribed antipsychotic medication immediately. खEncourage the client to engage in stimulating activities to increase social interaction. गProvide a quiet, structured environment free from distractions. घAssist the client in identifying and expressing their emotions.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

165. A patient with severe depression expresses suicidal ideation accompanied by feelings of hopelessness and worthlessness. The nurse's FIRST action should be:

     कOffer the patient a sedative to reduce agitation. खImmediately notify security personnel to ensure the patient’s safety. गEngage in active listening, expressing empathy and validating the patient’s feelings. घAsk the patient directly if they have a plan to harm themselves.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

166. A client recently diagnosed with obsessive-compulsive disorder (OCD) reports performing repetitive hand washing rituals multiple times per day. Which therapeutic approach is MOST suitable for the nurse to implement?

     कEncourage the patient to set time limits for each ritual. खImmediately stop the patient from engaging in the behavior. गProvide psychoeducation about OCD and its cyclical nature. घImplement a token reward system for resisting the urges.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

167. A patient experiencing acute psychosis expresses paranoid delusions and believes they are being followed by government agents. Which initial nursing intervention is MOST appropriate?

     कImmediately administer an antipsychotic medication. खEncourage the patient to talk about their fears openly. गMaintain a calm, reassuring presence while minimizing stimulation. घAttempt to reason with the patient using logical arguments.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

168. A patient diagnosed with schizophrenia is exhibiting catatonic behavior – immobility, mutism, or bizarre postures. Which medication class is MOST likely contributing to this side effect?

     कSelective Serotonin Reuptake Inhibitors (SSRIs) खBenzodiazepines गAntipsychotics (e.g., Haloperidol) घAntidepressants
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

169. A patient presents to the mental health clinic reporting disorganized thinking, pressured speech, and inflated self-esteem. Based on these symptoms, which of the following diagnoses is MOST likely?

     कSchizophrenia खMajor Depressive Disorder गGeneralized Anxiety Disorder घBipolar I Disorder
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

170. A patient with a history of severe trauma reports experiencing flashbacks – vivid, intrusive memories of the traumatic event accompanied by intense fear and physiological symptoms like increased heart rate and sweating. This is MOST consistent with which symptom cluster?

     कDissociative Amnesia खPost-Traumatic Stress Disorder (PTSD) गConversion Disorder घBrief Psychotic Disorder
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।