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 Schizophrenia reports hearing voices that tell them to harm others. The nurse's initial response should focus on:
सही उत्तर: ख) Exploring the content and context of the voices with the client.
The most crucial step is to engage the client in a therapeutic exploration of the voices – their content, frequency, and impact. This approach supports collaboration, reduces stigma, and can help determine if intervention is needed (A). Directly challenging the voices (B) can be confrontational and worsen distress; involving law enforcement prematurely (C) could escalate the situation needlessly; medication alone (D) doesn’t address the underlying psychological issues.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions is MOST appropriate for managing a client experiencing acute anxiety related to a recent diagnosis of schizophrenia?
सही उत्तर: ग) Provide a quiet, familiar environment with minimal stimulation.
A client experiencing acute anxiety often benefits from immediate symptom reduction. Benzodiazepines (A) are commonly used for this purpose. While structured activities and a calm environment (B) contribute to long-term management, they do not address the immediate acute anxiety. Educating about medication side effects (D) is important but doesn’t provide immediate relief.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression expresses thoughts of wanting to die and feels hopeless about the future. According to the mnemonic ‘BICS’, what should the nurse’s *primary* action be?
सही उत्तर: ख) Immediately implement a safety plan, including securing the environment and contacting emergency services.
The BICS mnemonic stands for Behavior, Intent, Context, and Safety. Immediate safety measures are paramount when a client expresses suicidal ideation. The other options – empathetic listening alone (A), medication (C) – are important components but secondary to immediate safety; attempting to distract (D) is unlikely to resolve the acute risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has been prescribed diazepam for anxiety. What is the MOST important instruction you should provide to the patient? a) ‘Take this medication exactly three times a day as needed.’ b) ‘You may experience drowsiness, so avoid driving or operating machinery.’ c) ‘Drink plenty of juice while taking this medication.’ d) ‘Do not take this medication with alcohol’.
सही उत्तर: ख) b) ‘You may experience drowsiness, so avoid driving or operating machinery.’
Option B is correct. Diazepam (a benzodiazepine) frequently causes sedation, and advising the patient to avoid activities requiring alertness (driving, operating machinery) is paramount for safety. Options A, C, and D are either inaccurate instructions or advise contraindicated behaviors.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking antipsychotic medication reports experiencing involuntary muscle movements. The nurse should prioritize which assessment? a) Assessing the client’s family history of neurological disorders. b) Monitoring vital signs for hypotension or tachycardia. c) Evaluating the amplitude, frequency, and nature of the movement. d) Administering a PRN dose of benzodiazepine to reduce anxiety.
सही उत्तर: ग) c) Evaluating the amplitude, frequency, and nature of the movement.
Option C is correct. The primary nursing concern with antipsychotic medication side effects like dystonia is accurately assessing the characteristics of the involuntary movements (amplitude, frequency, and type). Options A, B, and D are relevant but secondary to characterizing the movement itself.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with bipolar disorder presents in a manic episode characterized by racing thoughts, pressured speech, and inflated self-esteem. The nurse recognizes this requires a calm and structured environment. Which intervention would be MOST appropriate? a) Encourage the patient to engage in activities that stimulate their creativity. b) Provide a quiet, comfortable room with minimal distractions and routine activities. c) Allow the patient to continue engaging in their usual social activities. d) Implement frequent, unstructured conversations to assess thought processes.
सही उत्तर: ख) b) Provide a quiet, comfortable room with minimal distractions and routine activities.
Option B is correct. In a manic episode, stimulation can exacerbate symptoms. A calm, quiet environment (minimal distractions & routine) reduces sensory overload and helps stabilize the patient's mood. Options A, C, and D are inappropriate in this situation because they increase stimulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with severe depression expresses feelings of hopelessness and worthlessness. The nurse recognizes this as a potential risk factor for suicide. Which intervention should the nurse implement FIRST? a) Encourage the client to engage in enjoyable activities. b) Assess the client’s current mental status and identify any suicidal ideation, plan, or intent. c) Provide reassurance that things will eventually get better. d) Offer the client a list of local support groups.
सही उत्तर: ख) b) Assess the client’s current mental status and identify any suicidal ideation, plan, or intent.
Option B is correct. The immediate priority when a client expresses thoughts of hopelessness and worthlessness related to depression is to thoroughly assess for suicidal ideation, plan, or intent. This crucial step informs subsequent interventions (options A, C, and D) which are secondary to ensuring the patient's safety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presenting with disorganized thought processes, bizarre behavior, and hallucinations has been diagnosed with schizophrenia. Which of the following nursing interventions is MOST important in addressing these symptoms? a) Encourage regular participation in structured group activities. b) Provide a quiet, predictable environment with minimal stimulation. c) Facilitate communication through creative expression (e.g., art therapy). d) Implement a strict routine with timed medication administration.
सही उत्तर: ख) b) Provide a quiet, predictable environment with minimal stimulation.
Option B is correct because a calm, predictable environment minimizes external stimuli that can exacerbate disorganized thoughts and hallucinations. Options A, C, and D are less effective immediate responses to the patient's acute symptoms; structured groups may be overwhelming, creative expression might not always be beneficial, and strict routines don’t address underlying psychosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with obsessive-compulsive disorder (OCD) reports repeatedly washing his hands due to intrusive thoughts about germs. Which nursing intervention would be MOST effective in assisting this client? a) Immediately interrupt the handwashing behavior and explain that it’s excessive. b) Encourage the client to explore the meaning of the intrusive thoughts and challenge their validity. c) Provide a structured schedule for handwashing with specific times and techniques. d) Limit contact with potentially contaminated surfaces to reduce anxiety.
सही उत्तर: ग) c
Option B is correct. Cognitive Behavioral Therapy (CBT) techniques, specifically identifying and challenging the underlying thought patterns driving the compulsion, are a cornerstone of treatment for OCD. Options A, C, and D offer only temporary solutions or could be counterproductive.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with Post-Traumatic Stress Disorder (PTSD) reports experiencing flashbacks and nightmares related to a past traumatic event. Which nursing intervention would best support the patient’s coping mechanisms?
सही उत्तर: घ) Limit contact with individuals who remind the patient of their traumatic experience.
Collaborating with the patient (option 3) empowers them in their recovery. Developing personalized coping mechanisms helps manage symptoms. The other options could be detrimental; directly recalling trauma (option 1) can be re-traumatizing and providing detailed information is not as effective as actively helping the patient develop tools.
💬 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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