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 experiencing acute mania presents with pressured speech, flight of ideas, and hyperactivity. Which nursing intervention is MOST appropriate?
सही उत्तर: ख) Maintain a quiet, calm environment to minimize stimulation.
Option 1 is most appropriate. Clients experiencing acute mania require a de-stimulating environment to reduce agitation and prevent escalation. Options 2, 3 and 4 would exacerbate symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia reports hearing voices that tell them to harm others. The primary nursing intervention should be:
सही उत्तर: ग) Providing a calm, supportive environment and assessing the client's immediate risk of acting on the voices.
The correct response is 2. The priority when a client with schizophrenia reports hearing threatening voices is to assess immediate danger and implement safety measures. Simply administering medication doesn't address the core issue of managing delusions. Option 3 offers support but doesn’t directly address potential harm, while option 1 is not standard practice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements best describes the therapeutic goal of antipsychotic medication in schizophrenia?
सही उत्तर: ख) b) To reduce positive symptoms, such as hallucinations and delusions, while monitoring for side effects.
Option B is correct. Antipsychotics primarily target the reduction of *positive* symptoms (hallucinations, delusions) which are characteristic of schizophrenia. Options A, C, and D represent unrealistic or inappropriate goals for treatment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of psychosis presents to the clinic reporting hearing voices that tell them to harm themselves. The nurse’s primary concern should be:
सही उत्तर: ख) b) Exploring the content and intent of the voices with empathy and assessing risk factors for suicide.
Option B is correct because it addresses the core issue – understanding the nature of the psychotic experience and conducting a thorough safety assessment. Options A, C, and D are inappropriate initial responses as they do not address the psychiatric concern or risk assessment needs. The client's safety is paramount.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions is MOST appropriate when caring for a client with Generalized Anxiety Disorder (GAD)?
सही उत्तर: ग) C) Immediately administer an anxiolytic medication to alleviate symptoms quickly.
Option B is correct as it addresses the core features of GAD – excessive worry and anxiety. Relaxation techniques and cognitive restructuring help manage anxious thoughts and behaviors. Options A, C, and D are generally inappropriate for GAD management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with Schizophrenia is expressing delusional beliefs about being followed by government agents. The nurse’s primary goal should be:
सही उत्तर: ख) B) To explore the nature of the delusions, understand the patient's distress, and maintain a safe environment.
Option B is correct as it focuses on understanding the *patient’s* experience (distress) and ensuring safety. It acknowledges the delusion without challenging its validity directly. Option A can be confrontational and ineffective. Option C provides a temporary distraction but does not address the underlying issue, and option D implies an immediate response that may not be necessary.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with Panic Disorder is experiencing a severe panic attack. The nurse observes the client clutching their chest, hyperventilating, and expressing intense fear of dying. Which action should the nurse take FIRST?
सही उत्तर: घ) D) Immediately call for assistance from other healthcare professionals.
Option C is correct as it directly addresses the physiological symptoms of a panic attack through guided breathing, a core component of managing them. This provides immediate relief and helps reduce anxiety. Option A may not be needed initially. Option B offers reassurance but doesn't actively manage the acute distress, and option D may be unnecessary for a contained situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with severe Obsessive-Compulsive Disorder (OCD) calls the nurse repeatedly demanding that they check if the stove was turned off. Which of the following interventions is the BEST initial response?
सही उत्तर: ग) C) Explain that the behavior is irrational and encourage them to resist the urge.
Option B is correct; allowing the client to complete the ritual (while safely monitoring) acknowledges the compulsion's function, which is to provide temporary relief. While not helpful in the long term, it respects the patient’s perception of needing this behavior. Option A denies the core issue, option C can be distressing for the patient and doesn't address the underlying need, and option D is unlikely to interrupt the cycle.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with Schizophrenia reports hearing voices criticizing their appearance. Which intervention by the nurse is MOST appropriate?
सही उत्तर: ख) B) Acknowledge the patient’s experience and offer a supportive environment for further exploration.
Option B is correct because it aligns with therapeutic communication principles - acknowledging the patient’s subjective experience and offering support. This approach respects the reality of the patient's psychosis while fostering trust. Option A is inappropriate as directly challenging hallucinations can be distressing. Option C would likely exacerbate the issue, and option D represents a failure to address the patient's needs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of psychosis experiences a sudden return of auditory hallucinations accompanied by paranoia. Which nursing intervention demonstrates the MOST therapeutic response?
सही उत्तर: ख) Attempt to reason with the client about the reality of their perceptions
The correct answer is 1. Validating the client's experience, acknowledging their distress, while ensuring safety is crucial during a psychotic episode. Ignoring or reasoning doesn't address the underlying anxiety/fear, and medication requires physician authorization.
💬 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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