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

91. A nurse is caring for a client diagnosed with bipolar I disorder who is experiencing a manic episode characterized by racing thoughts, pressured speech, and impulsivity. Which of the following nursing actions would be *most* important to implement?

    कEncourage the client to engage in creative activities to channel their energy. खProvide a quiet, structured environment with minimal stimulation. गImplement safety measures to prevent impulsive behaviors such as wandering or substance use. घRegularly administer antipsychotic medications according to the physician’s orders.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

92. A patient with chronic schizophrenia reports hearing voices that criticize their appearance and abilities. The patient expresses feelings of worthlessness and hopelessness. According to the DSM-5, which of the following is the *most* appropriate initial nursing intervention?

    कAdminister a sedative medication to reduce anxiety related to the auditory hallucinations. खEncourage the patient to verbalize their fears and anxieties without judgment. गProvide reassurance that the voices are not real and help the patient focus on positive aspects of their life. घImmediately contact the patient’s family to involve them in the treatment plan.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

93. A client experiencing a panic attack states they feel 'frozen' and unable to move. Which physiological response is MOST likely responsible for this sensation?

    कIncreased dopamine levels खDecreased blood pressure गActivation of the sympathetic nervous system घRelease of endorphins
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

94. A nurse observes a patient with acute psychosis expressing paranoid thoughts, believing that nurses are deliberately trying to harm them. What is the most appropriate immediate nursing action?

    कAdministering a sedative medication immediately खAttempting to reason with the patient's delusions गIgnoring the patient's statements and continuing routine care घProviding a quiet, secluded environment for the patient
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

95. A client with Schizoaffective Disorder presents with symptoms of both psychosis (hallucinations, delusions) and mood disturbance (severe depression). Which intervention is MOST crucial in the initial management of this client?

    कEncouraging regular artistic expression खProviding a structured daily routine गAdministering antidepressant medication alone घMaintaining strict isolation to minimize stimulation
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

96. A patient with severe anxiety is exhibiting repetitive hand washing behaviors to alleviate distress. Which psychological concept best explains this action?

    कCognitive Dissonance खExposure Therapy गSystematic Desensitization घConditioned Response
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

97. A client presenting with delusions of grandeur and a firm conviction that they are a reincarnated deity is exhibiting symptoms characteristic of which mental health disorder?

    कSchizophrenia Spectrum Disorder खBipolar I Disorder गObsessive-Compulsive Disorder घAttention-Deficit/Hyperactivity Disorder
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

98. A patient diagnosed with Schizophrenia is experiencing auditory hallucinations of voices criticizing their appearance. Which therapeutic approach would be MOST effective in addressing these symptoms?

    कPharmacological intervention with an antipsychotic medication खCognitive Behavioral Therapy (CBT) focused on challenging delusional beliefs गEncouraging the client to spend more time outdoors and engaging in social activities घProviding a structured daily routine with consistent expectations
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

99. A client presents to the mental health clinic reporting persistent feelings of sadness, hopelessness, and difficulty concentrating for the past six months. Which of the following is the MOST appropriate initial nursing intervention?

    कAdminister a benzodiazepine to alleviate anxiety associated with depression खEncourage the client to engage in regular exercise and healthy eating habits गConduct a thorough assessment of the client’s current medication list and potential substance use घProvide active listening, empathy, and offer resources for mental health support
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

100. A client taking lithium reports experiencing tremors, nausea, and frequent urination. The nurse recognizes these as potential side effects. Which action should the nurse prioritize?

     कAdministering an antiemetic medication immediately खInstructing the client to increase their fluid intake गMonitoring electrolyte levels (sodium, potassium, calcium) and reporting findings to the physician घEncouraging the client to continue taking lithium as prescribed without interruption.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।