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 with schizophrenia reports hearing voices that tell him he is worthless and should commit suicide. Which of the following nursing interventions is MOST effective?
सही उत्तर: घ) Maintain a supportive presence, acknowledging the distress while gently encouraging the client to explore their feelings
Maintaining a supportive presence (3) is key. While directly confronting the voice hallucinations may be unhelpful and distressing, a calm and empathetic approach allows for exploration of the experience and provides a sense of support. The other options are less effective in managing psychotic symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is providing care for a client diagnosed with bipolar disorder experiencing an acute manic episode. The client expresses grandiose delusions of wealth and power. Which response demonstrates 'false reassurance'?
सही उत्तर: ग) ‘You seem to be experiencing some unrealistic thoughts about your financial situation; let's talk about them calmly.’
Offering reassurance about a delusion (2) is false reassurance. It validates the irrational belief, which reinforces it. The other options acknowledge the delusional thinking but don't offer validation, rather they seek to explore further or gently challenge the thought, which is appropriate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with psychosis states, ‘They are watching me! They want to hurt me!’ Which of the following nursing actions is MOST appropriate?
सही उत्तर: घ) Encourage the client to engage in distracting activities to shift their attention
Maintaining a calm and quiet environment (3) is crucial when a psychotic client expresses delusions. It reduces anxiety and minimizes potential agitation while allowing for observation. Reasoning with the delusional thought will not change the patient’s experience, administering medication without assessment could have side effects, and distracting activities may be ineffective in addressing the underlying psychosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression expresses suicidal thoughts. The nurse’s initial intervention should be to:
सही उत्तर: ख) Assess the client's intent, method, and access to means
The most appropriate initial action is to assess the client's immediate risk. (1) This involves determining if there is an intention to die, a specific method in mind, and access to means that could be used. The other options are secondary interventions; offering comfort alone doesn’t address the risk, and attempting to talk without assessment is potentially harmful.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient recently discharged from inpatient psychiatric care is expressing significant anxiety about returning home. Which nursing action would be MOST appropriate?
सही उत्तर: ग) Help the patient identify coping mechanisms and develop a plan for managing triggers.
Providing clear information regarding their treatment plan is essential to build confidence and support. This empowers the patient to manage potential challenges upon returning home – The other options provide secondary support but don’t address the core issue of anxiety related to a return to daily life.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client admitted for acute psychosis is persistently hearing voices that command them to harm themselves. Which of the following interventions should the nurse prioritize?
सही उत्तर: ग) Offer reassurance that the voices are not real and will eventually disappear.
Due to the immediate danger of self-harm posed by the commanding voices, a restrictive intervention is necessary until a more comprehensive treatment plan can be implemented. This protects the client while assessing the situation and working with the medical team.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of bipolar disorder is experiencing manic symptoms including pressured speech and inflated self-esteem. Which therapeutic approach would be MOST beneficial in addressing these symptoms?
सही उत्तर: ख) Cognitive Behavioral Therapy (CBT) to challenge distorted thinking patterns.
CBT is specifically designed to address irrational thoughts and behaviors associated with mood disorders like bipolar disorder. The other options are relevant therapies but aren’t the primary treatment for manic symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with severe depression expresses feelings of hopelessness and worthlessness. Which statement by the nurse BEST demonstrates empathy?
सही उत्तर: ख) ‘I understand how you must be feeling – it sounds incredibly difficult.’
The correct response validates the client’s feelings by acknowledging their experience. Option 2 demonstrates empathy without judgment or offering unsolicited advice. The other options offer reassurance or solutions that may minimize the patient's distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with schizophrenia is exhibiting disorganized thought processes and illogical speech. Which of the following interventions would be MOST appropriate for the nurse to implement?
सही उत्तर: घ) Maintain a calm and supportive demeanor while observing the patient’s behavior.
Maintaining a calm demeanor and observation is crucial when dealing with disorganized thought. The other options attempt to directly address the illogicality, which can be counterproductive and escalate agitation. This aligns with non-directive care approaches for psychosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with anxiety is expressing feeling overwhelmed by their racing thoughts. Which of the following nursing interventions would BEST demonstrate empathy?
सही उत्तर: ख) ‘I understand this must feel incredibly difficult for you’
Option 1 is correct. Reflecting the client's emotional state ( ‘I understand this must feel incredibly difficult for you’) demonstrates empathy and validation, indicating that the nurse recognizes and acknowledges the client’s experience. Options 2-4 represent advice or solutions that lack empathy.
💬 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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