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

61. A nurse is caring for a patient with Obsessive-Compulsive Disorder (OCD) who repeatedly washes their hands due to concerns about contamination. Which nursing intervention would be MOST appropriate in this situation?

    कRestrict the patient’s access to handwashing supplies खEncourage the patient to recognize and challenge the irrational thoughts driving the behavior गImmediately interrupt the washing behavior, explaining it is harmful घProvide a structured schedule for handwashing to minimize anxiety
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

62. A client diagnosed with Schizophrenia has expressed paranoid delusions and refuses all medications. Which of the following therapeutic approaches would be MOST beneficial in assisting this client?

    कCognitive Behavioral Therapy (CBT) focused on challenging delusional beliefs खMotivational Interviewing to explore ambivalence about treatment गAssertive Community Treatment (ACT) providing intensive support outside the hospital घDirect Confrontation to demonstrate the illogical nature of their delusions
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

63. A nurse is assessing a patient newly admitted to a psychiatric unit who reports hearing voices and believes they are being watched by unseen entities. Which of the following nursing interventions would be MOST appropriate?

    कImmediately administer an antipsychotic medication as prescribed खAttempt to reason with the patient, explaining that the voices aren't real गMaintain a calm and supportive environment, actively listening to the patient’s experiences घOffer practical assistance with daily tasks to reduce anxiety
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

64. A patient presents to the mental health clinic reporting feelings of hopelessness, worthlessness, and difficulty concentrating for the past several weeks. They admit to experiencing significant changes in appetite and sleep patterns. According to the DSM-5 criteria, which diagnosis is MOST likely being considered?

    कSchizoaffective Disorder खMajor Depressive Disorder गGeneralized Anxiety Disorder घBorderline Personality Disorder
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

65. A client experiencing acute anxiety reports feeling like they are going to jump out of a window. The nurse’s FIRST action should be:

    कImmediately restrain the client to prevent self-harm. खOffer the client a sedative medication as prescribed by the physician. गProvide reassurance and encourage the client to focus on their breathing. घAssist the client in visualizing a calming scene.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

66. A nurse is caring for a client who has been diagnosed with psychosis. The client begins to express paranoid thoughts, believing that nurses are deliberately trying to harm them. What is the MOST appropriate initial nursing response?

    कImmediately administer an antipsychotic medication as prescribed. खAttempt to reason with the client and explain that these feelings are irrational. गAcknowledge the client’s fears without validating them, and calmly state that you are there to help. घIgnore the client's statements and focus on providing routine care.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

67. A client admitted for treatment of severe depression reports experiencing delusions of grandeur – believing they are a famous historical figure. Which nursing intervention is BEST suited to address this delusion?

    कChallenge the client's beliefs directly and forcefully, stating that these ideas are not true. खAllow the client to continue expressing their delusional beliefs without interruption, as it’s a coping mechanism. गExplore the client's feelings about their life circumstances while gently acknowledging the delusion. घHelp the client identify past experiences or events that might have contributed to the development of the delusion.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

68. A client diagnosed with bipolar disorder presents with racing thoughts, inflated self-esteem, pressured speech, and a decreased need for sleep. Which of the following nursing actions is MOST crucial in managing this acute manic episode?

    कEncourage the client to engage in stimulating activities to release energy. खMaintain a quiet environment to minimize stimulation and potential impulsivity. गMonitor vital signs closely due to the risk of cardiac complications. घAssist the client with organizing their finances and making important decisions.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

69. A client with Schizophrenia is experiencing auditory hallucinations that are distressing and causing significant anxiety. Which of the following nursing interventions is MOST appropriate FIRST?

    कAdminister a sedative medication as prescribed by the physician. खEncourage the client to identify the source of the hallucination. गProvide reassurance that the hallucinations are not real and will eventually disappear. घHelp the client explore the meaning and significance of the hallucinations.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

70. A patient presenting with persistent delusions of grandeur, racing thoughts, pressured speech, and marked impulsivity is most likely experiencing symptoms associated with which mental health disorder? a) Unipolar Depression b) Generalized Anxiety Disorder c) Schizophrenia Spectrum Disorders d) Post-Traumatic Stress Disorder

    कa) Unipolar Depression खb) Generalized Anxiety Disorder गc) Schizophrenia Spectrum Disorders घd) Post-Traumatic Stress Disorder
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।