मानसिक स्वास्थ्य नर्सिङ – Mental Health Nursing MCQ
मानसिक स्वास्थ्य नर्सिङ – अन्तर्राष्ट्रिय नर्सिङ
Mental Health Nursing · International Nursing (NCLEX-RN, DHA, HAAD) · ४०७ प्रश्न
४०७ प्रश्न उपलब्ध। मोड छान्नुहोस्:
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
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A client diagnosed with obsessive-compulsive disorder (OCD) is repeatedly washing their hands despite recognizing it's excessive and causing distress. This behavior is best described as:
सही उत्तर: क) A compulsion
The answer is 'A compulsion' (0) because compulsions are repetitive behaviors or mental acts performed to reduce anxiety caused by obsessions. The other options describe different components of OCD treatment and understanding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions would be MOST appropriate for a client experiencing acute psychosis characterized by disorganized thought processes and rapid speech?
सही उत्तर: ग) Offer simple, direct instructions and repeat them frequently.
The answer is 'Offer simple, direct instructions and repeat them frequently' (2) because clients experiencing disorganized thought processes need clear, concise communication that doesn’t overwhelm their ability to process information. The other options are generally helpful for managing anxiety or distress but not specifically for psychosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client experiencing hallucinations involving auditory voices criticizing their actions and demanding they commit acts of violence demonstrates a symptom most closely associated with which mental health condition?
सही उत्तर: ख) Schizophrenia
The answer is Schizophrenia (1) because the presence of auditory hallucinations, particularly those that are critical and demanding, is a defining characteristic. While other disorders can involve anxiety or disturbing thoughts, the specific type and nature of the hallucination strongly point to schizophrenia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presenting with persistent delusions of grandeur, inflated self-esteem, and a belief in their own special abilities BEST exemplifies which mental health diagnosis?
सही उत्तर: क) Schizophrenia
The answer is Delusional Disorder (0) because the described symptoms - grandiose delusions - are the hallmark of this disorder. The other options present different diagnostic criteria (e.g., disorganized thinking in schizophrenia, manic episodes in bipolar disorder, or depressive symptoms).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with schizophrenia is exhibiting disorganized thinking and frequently changes topics during a conversation. The nurse observes this behavior as:
सही उत्तर: घ) Loose associations.
Loose associations are the hallmark of disorganized thinking in schizophrenia. Concrete thinking (option 1) involves focusing on specific details; fluent thought (option 2) means speech is logical and connected; formal thought process (option 3) refers to a consistent, linear way of thinking.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a mental health assessment, a client reports hearing voices that tell them to harm themselves. Which action should the nurse take FIRST?
सही उत्तर: घ) Administer an antipsychotic medication as prescribed.
The immediate priority is assessing for imminent danger. A suicidal ideation assessment is paramount. Options 1 and 2 could prolong the conversation if danger is present. Option 4 may be necessary later, but safety comes first.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with major depressive disorder reports feeling hopeless about the future. The nurse understands that this statement suggests:
सही उत्तर: ख) The client’s ability to experience joy has been permanently diminished.
The statement ‘hopeless about the future’ is a core symptom of major depressive disorder – anhedonia. While it might appear like grief (option 4), it’s deeper and more pervasive in depression. Insight isn't necessarily lacking; it’s a fundamental symptom. Option 2 reflects a permanent inability to feel pleasure, but the presentation here is not about a loss.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client diagnosed with acute mania. Which of the following interventions should be included in the care plan?
सही उत्तर: ख) Encourage frequent socialization activities.
Maintaining a regular sleep-wake cycle is crucial for managing mania as it helps stabilize mood. While the other options might be helpful in some cases, they are not as fundamental to addressing acute manic symptoms as structured environment (option 3) which reduces stimulation and potential triggers. Benzodiazepines are primarily used for anxiety and should be cautiously employed due to their potential to worsen agitation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with paranoid schizophrenia expresses a belief that the hospital staff are deliberately poisoning his food. Which nursing intervention is MOST appropriate at this time?
सही उत्तर: ग) Provide a quiet environment and monitor the client's behavior for signs of agitation.
Providing a quiet environment and monitoring is the most appropriate initial response. This focuses on safety and observation without directly challenging the delusion, which could escalate distress. Option 1 is inappropriate as it’s premature to administer medication; option 2 attempts to argue with the delusion, which is generally ineffective and can worsen paranoia. Option 3 is a component of the response but not the most prioritized.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with bipolar disorder presents with elevated mood, increased energy, and racing thoughts. The nurse recognizes this as potential hypomania. Which action is MOST important at this time?
सही उत्तर: ग) Monitor the client closely for signs of mania or psychosis.
Hypomania, if not treated, can escalate into full-blown mania. Careful monitoring (C) is critical to detect and intervene before psychotic symptoms develop. Starting lithium immediately (B) without assessment could be dangerous; encouraging activities (A) provides support but doesn’t address the core issue; therapy sessions (D) are important long-term but secondary to immediate safety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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