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 Alzheimer’s disease repeatedly asks the same questions throughout the day, despite receiving repeated answers. The nurse understands this behavior best described as:
सही उत्तर: ग) Repetitive Behavior
Repetitive questioning is a hallmark symptom of Alzheimer’s disease and other forms of dementia, representing an inability to form new memories and rely on stored ones. Wernicke’s aphasia involves language impairment; memory distortion can relate to false memories; cognitive decline is a general term.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a diagnosis of bipolar disorder presents with racing thoughts, inflated self-esteem, and impulsive spending behaviors. Which aspect of the nurse’s assessment is MOST important to document at this time?
सही उत्तर: ख) The patient’s current medication regimen and adherence
During a manic episode, a patient's distorted perception of reality is paramount. Documenting the patient's subjective experience accurately is critical for monitoring and intervention; while other elements are relevant, they are secondary to capturing the current state.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client experiencing acute anxiety expresses feeling ‘totally overwhelmed’ and ‘like I can't breathe.’ Which nursing action demonstrates the most appropriate initial response?
सही उत्तर: ख) Encourage the client to engage in deep breathing exercises and relaxation techniques
Deep breathing and relaxation techniques are non-pharmacological interventions that can quickly help manage acute anxiety symptoms. The other options represent potential actions but don't address the immediate distress as effectively.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe depression is expressing feelings of hopelessness and a belief that life is not worth living. The nurse’s response exemplifies which therapeutic communication technique?
सही उत्तर: ख) Using reflective statements such as ‘It sounds like you’re feeling overwhelmed’
Reflective listening is key when a patient expresses deep distress and feelings of hopelessness. It demonstrates empathy and validates the patient's emotions, creating a safe space for further exploration. The other options are less appropriate responses as they can minimize the patient’s experience or offer potentially invalidating advice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client admitted to a psychiatric unit is exhibiting disorganized speech and illogical thought processes. The nurse observes that the client is constructing elaborate, fantastical stories involving mythical creatures. What should the nurse prioritize?
सही उत्तर: घ) Documenting the client’s behavior objectively without interpretation
The priority is maintaining a non-judgmental environment while carefully observing. Directly questioning the narratives can be distressing for the client, potentially escalating their anxiety. Allowing uninterrupted expression provides valuable data for assessment and allows the nurse to understand the context of the delusions. Documentation should focus on factual observations without subjective interpretation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presenting with symptoms of acute psychosis, including disorganized thought processes and delusions of persecution, is demonstrating significant agitation. Which of the following approaches is MOST appropriate for the nurse to take initially?
सही उत्तर: ग) Provide a calm environment and allow the client to express themselves freely
Prioritizing a calm approach and allowing expression is crucial when managing acute psychosis. Directly challenging delusions can escalate agitation. While medication may be needed, it’s not the immediate first step. Restraints are reserved for situations where safety is immediately threatened. This aligns with best practices in mental health nursing.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia is experiencing auditory hallucinations of voices criticizing their appearance. The nurse’s first intervention should be to:
सही उत्तर: ख) Encourage the client to identify and discuss the content of the hallucination
The most appropriate initial response is encouraging the client to identify and discuss the content. This utilizes the therapeutic communication technique of validation, helping the client process their experience while demonstrating empathy – reducing anxiety and distress. The other options are less effective immediately; medication takes time to take effect, distraction may not address underlying issues, and reassurance alone isn't a strategy for managing hallucinations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with psychosis consistently expresses the belief that strangers are trying to harm them. Which nursing intervention best addresses this delusion? a) Explain that their beliefs are irrational and untrue. b) Help the client identify specific triggers for these thoughts and develop coping strategies. c) Restrict the client's contact with others until the delusions subside. d) Immediately involve law enforcement to ensure the client’s safety and the safety of others.
सही उत्तर: ख) b
Option B is correct. Cognitive behavioral therapy (CBT) techniques, specifically identifying triggers and developing coping strategies, are effective in managing delusional beliefs alongside providing a safe supportive environment. Options A, C and D can exacerbate the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a session with a client experiencing delusional thinking about being poisoned, which nursing intervention is MOST crucial? a) Immediately challenge the client's delusions directly. b) Attempt to reason with the client using logical arguments. c) Provide a calm and supportive environment while focusing on reality testing and reducing anxiety. d) Contact law enforcement to have the client removed.
सही उत्तर: घ) d
Option C is correct. Directly challenging delusions can be counterproductive, increasing distress. A supportive approach aimed at reality testing and managing anxiety is more effective. Options A, B, and D are inappropriate responses in this situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with bipolar disorder presents with racing thoughts, pressured speech, and inflated self-esteem. Which medication class would be MOST appropriate as an initial intervention? a) Selective Serotonin Reuptake Inhibitors (SSRIs) b) Atypical Antipsychotics such as Risperidone or Olanzapine c) Benzodiazepines for anxiety relief d) Lithium Carbonate for mood stabilization.
सही उत्तर: ख) b
Option B is correct. Atypical antipsychotics are typically first-line treatment for manic episodes of bipolar disorder due to their ability to effectively manage psychotic symptoms and elevate mood. Options A, C, and D are less appropriate for the acute management of mania.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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