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 patient admitted for acute mania exhibits racing thoughts, pressured speech, and impulsive behaviors. To minimize potential harm to the patient and environment, which nursing action is MOST crucial?
सही उत्तर: ग) Establishing firm limits on behavior and using redirection techniques
The correct answer is 2. Establishing clear limits and employing redirection are essential in managing impulsive behaviors during an acute manic episode, ensuring safety for the patient and staff. The other options would likely exacerbate the symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with severe Obsessive-Compulsive Disorder (OCD) reports intense urges to repeatedly wash their hands due to contamination fears. Which nursing intervention is MOST appropriate?
सही उत्तर: घ) Assist the client in identifying and challenging negative thought patterns
The correct answer is 3. Addressing the cognitive component of OCD with thought-challenging techniques is key to long-term management. Offering a rigid schedule or speeding up the ritual reinforces the compulsion, while education alone may not be sufficient without behavioral changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with symptoms including disorganized thinking, flat affect, and disinterest in their surroundings. Which of the following diagnoses is MOST consistent with these observations?
सही उत्तर: क) Major Depressive Disorder
The correct answer is 0. These symptoms – disorganized thoughts, blunted affect, and lack of interest - are hallmarks of Schizophrenia. The other options present with different predominant features (e.g., depression in MDD, mood swings in Bipolar I, and generalized anxiety in GAD).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with Schizophrenia is experiencing auditory hallucinations involving commands to harm himself. Which intervention is MOST important for the nurse to implement immediately?
सही उत्तर: ख) Provide a calm and reassuring environment, minimizing stimulation
The correct answer is 1. Providing a calm environment minimizes the impact of hallucinations and prevents self-harm. The other options are less immediate or potentially harmful; medication needs physician approval, problem-solving can exacerbate delusions, and offering a drink could be misinterpreted as encouragement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client receiving treatment for obsessive-compulsive disorder (OCD) reports experiencing intrusive thoughts about contamination. Which nursing intervention would be most beneficial?
सही उत्तर: घ) d) Suggesting that the client focus on distracting activities to avoid thinking about contamination.
Option (3) is correct because ERP, a core component of CBT for OCD, directly addresses intrusive thoughts by gradually exposing the client to their fears while preventing compulsive behaviours. The other options are ineffective and can actually reinforce the OCD cycle.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression expresses suicidal ideation stating, 'I just want to disappear.' Which initial nursing intervention is MOST important?
सही उत्तर: ख) b) Encourage the client to verbalize their feelings without judgment and assess for intent and plan.
Option (1) is the most appropriate first step. Assessing intent, planning, and access to means are paramount when dealing with suicidal ideation. Immediate action is necessary while a full assessment is performed. Options (a) & (c) could be harmful, and option (d) involves family before the crucial initial assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia is experiencing auditory hallucinations – hearing voices that tell them to harm themselves. According to the ethical guidelines for mental health nursing, which of the following actions should the nurse prioritize?
सही उत्तर: घ) d) Contact law enforcement immediately without discussing the situation with the patient.
The correct answer is (3). Ethical practice dictates prioritizing client autonomy and safety. Actively listening, validating feelings, and collaborating on a safety plan are crucial steps in managing hallucinations safely. Option (a) could be frightening and disempowering; option (b) endangers the patient; and option (d) bypasses critical therapeutic communication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes a core element of Cognitive Behavioral Therapy (CBT) used in treating anxiety disorders?
सही उत्तर: ख) b) Identifying and modifying negative thought patterns and behaviors.
Option (1) is the most accurate description of CBT. It's fundamentally based on identifying and changing maladaptive thoughts and behaviours that contribute to anxiety. Option (a) describes psychodynamic therapy, option (c) describes hypnosis, and option (d) represents a purely pharmaceutical approach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with bipolar disorder presents with racing thoughts, pressured speech, and inflated self-esteem. The nurse understands that these symptoms are best managed by:
सही उत्तर: ग) c) Initiating a mood stabilizer such as lithium or valproic acid.
The correct answer is (2). During manic episodes of bipolar disorder, mood stabilizers are the primary intervention. The other options represent addressing symptoms superficially or potentially exacerbating the condition. Option (a) would be ineffective in addressing mania directly; option (b) offers minimal symptom management and option (d) requires careful support but doesn't target the underlying biochemical imbalance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing a manic episode insists on investing all their savings in a ‘guaranteed’ scheme. Which nursing action is MOST appropriate?
सही उत्तर: घ) Respect the client’s autonomy and allow them to make their own decisions.
Option 3 is correct. Respecting the client’s autonomy is crucial during a manic episode when judgment is impaired. While monitoring is important, directly challenging the client can exacerbate agitation. Options 1, 2, and 4 are inappropriate as they potentially escalate the situation or disregard safety concerns.
💬 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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