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 severe depression expresses suicidal ideation accompanied by feelings of hopelessness and worthlessness. Which immediate action should the nurse take? a) Encourage the client to talk about their feelings openly. b) Immediately alert security personnel to ensure safety. c) Assess the client’s intent, plan, and access to means. d) Offer reassurance that things will get better soon.
सही उत्तर: ग) c
Option C is correct. Assessing suicide risk involves a thorough evaluation of intent, plan, and access to lethal means – this is the priority intervention for a client in crisis. Options A, B, and D are less immediately crucial.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia presents with disorganized thinking and tangential speech. The nurse’s primary goal in this initial interaction should be: a) To provide a detailed explanation of the medication regimen. b) To establish a therapeutic relationship based on empathy and trust. c) To immediately correct the client's thought processes. d) To explore the client’s current stressors and symptoms.
सही उत्तर: ख) b
Option B is correct. In early stages of psychosis, building rapport and trust is crucial for effective communication and engagement. Options A, C, and D are less appropriate as they prioritize direct intervention or complex explanations which may overwhelm the client.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient with bipolar disorder who reports feeling extremely elated and energetic for the past 3 days. Which intervention should the nurse prioritize?
सही उत्तर: ग) Monitor the patient closely for signs of rapid cycling or psychosis.
Monitoring closely for rapid cycling or psychosis (option 2) is paramount during a manic episode. The patient’s heightened state could rapidly progress to a more severe condition, necessitating immediate intervention and careful observation. While other interventions are relevant later, safety assessment comes first.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with psychosis is consistently hearing voices that tell them they are being persecuted. Which intervention would be MOST beneficial in addressing this delusion?
सही उत्तर: ख) Engage in a collaborative reality orientation technique, gently reminding the client of their surroundings.
Gently reminding the client of their surroundings (option 1) is a reality orientation technique. While it's important not to dismiss the patient’s experience, gently correcting inaccurate perceptions can help reduce the impact of the delusion. Directly confronting the belief or simply reassuring them aren't effective strategies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with severe depression who expresses suicidal ideation. What is the MOST important initial nursing action?
सही उत्तर: क) Immediately implement crisis intervention protocols, including seclusion if necessary.
The most crucial initial action is implementing crisis intervention (option 0) - this includes assessing for intent, plan, and access to means. While other options are important aspects of care, immediate safety assessment is paramount in suicidal ideation. The patient’s life takes priority.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing acute mania presents with pressured speech, racing thoughts, and significant agitation. Which environmental modification would MOST effectively reduce the patient’s distress?
सही उत्तर: ख) Provide a quiet, dimly lit room with minimal distractions.
Providing a quiet, dimly lit room (option 1) is the most effective intervention for a manic patient. The patient’s heightened sensory input and agitation are exacerbated by bright lights and noise. The other options would likely worsen their condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with Schizophrenia exhibits disorganized thinking and tangential speech. Which nursing intervention is MOST appropriate?
सही उत्तर: क) Administer antipsychotic medication as prescribed without further assessment.
The most appropriate intervention is maintaining a calm environment and allowing free expression (option 0) because disorganized thinking and tangential speech are common in schizophrenia. The other options represent interventions that could exacerbate symptoms or are not evidence-based for managing these behaviors. Restraints should be a last resort.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe anxiety is experiencing a panic attack characterized by rapid breathing, chest tightness, and intense fear. The nurse’s MOST immediate priority should be:
सही उत्तर: ख) B) Encouraging the patient to focus on their breathing and relaxation techniques.
Option 1 prioritizes immediate symptom management, which is crucial during a panic attack. While other options are helpful in the long term, rapid intervention for physiological symptoms is the priority in this acute situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with dementia consistently expresses confusion regarding time and place. The nurse observes the client repeatedly asking 'Where am I? What time is it?' and becomes disoriented in the environment. This behavior BEST illustrates which cognitive impairment?
सही उत्तर: ग) C) Persistent disorientation related to dementia.
Option 2 accurately describes persistent disorientation as a key feature of dementia. Options A and D describe acute confusion, while B presents a different type of amnesia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with bipolar disorder experiences an elevated mood, increased energy, racing thoughts, and impulsive spending. Which of the following interventions would be MOST appropriate for the nurse to implement?
सही उत्तर: घ) D) Immediately initiate antipsychotic medication to stabilize mood.
Option C is the best response because it acknowledges the current phase of bipolar disorder (mania) while guiding the patient toward appropriate care. Options A is a general wellbeing suggestion, B focuses on control without acknowledging the altered state, and D uses medication before careful assessment.
💬 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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