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 nurse is assessing a patient with severe depression who states, 'I feel utterly hopeless and like nothing matters anymore.' What is the MOST important initial nursing action?
सही उत्तर: ख) Validate the client's feelings and offer active listening.
Validating the client’s feelings (option 1) demonstrates empathy and builds a therapeutic relationship. Active listening allows the nurse to gather more information about the client's distress. While all other options may be part of treatment, initial validation is crucial for safety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client admitted for treatment of obsessive-compulsive disorder (OCD) reports repeatedly washing their hands due to intrusive thoughts about contamination. Which therapeutic technique would be most effective in addressing this behavior?
सही उत्तर: ग) Exposure and response prevention therapy (ERP).
Exposure and Response Prevention Therapy (ERP) (option 3) is the gold standard treatment for OCD. It involves gradually exposing the client to their feared stimuli while preventing them from engaging in compulsive behaviors. Ignoring the behavior (option 2) would reinforce it.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with bipolar disorder type I is experiencing an acute manic episode characterized by racing thoughts, pressured speech, and impulsivity. Which nursing intervention would be MOST beneficial at this time?
सही उत्तर: ग) Assist the patient in developing a detailed plan for managing finances.
A quiet, structured environment (option 2) minimizes external stimuli that could exacerbate manic symptoms. The other options are not prioritized during an acute manic episode where the focus is on reducing agitation and promoting a safe environment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with schizophrenia expresses delusions of persecution, stating, 'They are watching me, trying to harm me! I need to protect myself.' Which nursing intervention is MOST appropriate?
सही उत्तर: ख) Encourage the client to explore their feelings without judgment.
Exploring the client’s feelings without judgment (option 1) is a therapeutic approach for psychosis. It allows the nurse to understand the content of the delusions and build rapport. The other options are either inappropriate responses to delusional thinking or could inadvertently reinforce the delusion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with psychosis is exhibiting disorganized speech. Which nursing intervention demonstrates the BEST approach?
सही उत्तर: ख) Use simple, direct language and avoid abstract concepts.
Simple, direct language is crucial when communicating with someone experiencing disorganized thought. Speaking quickly can be overwhelming. Open-ended questions can be confusing, and ignoring the speech doesn’t address the underlying issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with major depressive disorder expresses feelings of hopelessness and believes that nothing will ever improve. What is the nurse’s MOST important role in this situation?
सही उत्तर: ग) To actively listen to the patient, validate their emotions, and explore potential sources of support.
The nurse’s priority is validation and active listening. Simply dismissing the feeling or trying to convince them it's wrong won’t help. Minimizing distress isn't therapeutic. Medication should be determined by a physician.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements BEST describes the therapeutic goal of Cognitive Behavioral Therapy (CBT) in treating depression?
सही उत्तर: ख) To identify and modify negative thought patterns and behaviors.
CBT focuses on actively changing maladaptive thoughts and behaviors contributing to depression. Option 1 is related to psychodynamic therapy. Option 3 reflects acceptance-based approaches. Option 4 doesn’t align with CBT's structured approach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient with bipolar disorder who is experiencing a manic episode. Which assessment finding would indicate the need for increased intervention?
सही उत्तर: ख) The patient expresses grandiose ideas about their future.
Grandiose ideas are a hallmark of mania and indicate an increased risk of harm to self or others. While excessive talkativeness is common, it’s not as critical as the potential for impaired judgment. Difficulty sleeping & denial aren't necessarily indicative of escalation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with schizophrenia is experiencing auditory hallucinations. Which nursing intervention would be MOST appropriate at this time?
सही उत्तर: क) Administer antipsychotic medication as prescribed.
The most appropriate initial intervention for a patient experiencing auditory hallucinations is to provide a calming environment. Option 2 is tempting as exploring the hallucinations can be overwhelming. Options 1 and 3 are part of treatment but don’t address immediate symptom management. Option 4 is not effective in this acute situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with schizophrenia states, ‘I am being watched by the government to control my every thought.’ The nurse’s best response would be:
सही उत्तर: ख) B) Acknowledge the client’s feeling of being watched and explore the reasons behind this suspicion
Option 1 is correct; responding with empathy and acknowledging the client's feeling without directly challenging the delusion helps maintain rapport and avoid reinforcing the belief. Options A and C are confrontational and potentially distressing, while Option D offers no therapeutic benefit.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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