मानसिक स्वास्थ्य नर्सिङ – Mental Health Nursing MCQ

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

201. A client newly admitted to a mental health facility expresses significant feelings of guilt and self-blame related to past actions. The nurse’s role in addressing these emotions should primarily focus on:

     कA) Immediately challenging the validity of the client’s negative thoughts and beliefs through cognitive restructuring खB) Providing reassurance that everyone makes mistakes and focusing on moving forward with positive coping strategies गC) Exploring the underlying experiences, feelings, and context surrounding the events to promote understanding and acceptance घD) Encouraging the client to maintain a strict routine and adhere strictly to behavioral guidelines to establish structure
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

202. A client with post-traumatic stress disorder (PTSD) repeatedly relives distressing memories through flashbacks and nightmares. The nurse recognizes that these experiences are often associated with heightened physiological arousal. Which intervention would be MOST appropriate to assist the client in managing this immediate distress?

     कA) Encourage the client to engage in a detailed recollection of the traumatic event to process the memory fully खB) Administer a short-acting benzodiazepine such as lorazepam to reduce anxiety and promote relaxation immediately गC) Guide the client through grounding techniques, focusing on the present moment, such as deep breathing or sensory awareness exercises घD) Implement behavioral activation strategies that involve increased social interaction and participation in stimulating activities
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

203. A patient diagnosed with severe bipolar disorder reports feeling overwhelmed by racing thoughts and experiencing periods of extreme energy followed by profound sadness. The nurse recognizes this as potentially indicative of which phase within the bipolar disorder cycle?

     कA) Euthymic Phase – characterized by stable mood and thought patterns खB) Manic Phase – marked by elevated mood, increased activity, and impulsivity गC) Depressive Phase – defined by low mood, loss of interest, and feelings of hopelessness घD) Maintenance Phase – representing a period of stability between manic and depressive episodes
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

204. A client presenting with chronic schizophrenia is experiencing auditory hallucinations, expressing paranoid delusions, and demonstrating disorganized thought patterns. The nurse’s primary goal in this initial assessment should be to:

     कA) Encourage the client to express all thoughts and feelings without judgment to facilitate exploration of delusional beliefs खB) Immediately initiate antipsychotic medication as prescribed by the physician to reduce psychotic symptoms immediately गC) Establish a therapeutic relationship based on trust, reality orientation, and de-escalation techniques while exploring the client’s experience घD) Focus solely on managing the client’s agitation through pharmacological interventions such as benzodiazepines
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

205. A patient with anxiety reports experiencing intrusive thoughts about harming their child. Which of the following interventions is MOST appropriate for the nurse to implement FIRST?

     कa) Suggest the patient engage in relaxation techniques to reduce overall anxiety levels. खb) Explore the content and frequency of the intrusive thoughts, while assessing the client’s risk of acting on them. गc) Encourage the patient to consciously focus on positive images to displace the negative thoughts. घd) Recommend the patient consult with a therapist specializing in obsessive-compulsive disorder.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

206. A client admitted for treatment of severe depression expresses thoughts about wanting to die but denies actively planning suicide. The nurse's response should include:

     कa) Immediately transport the client to a psychiatric unit for continuous monitoring. खb) Explore the client’s feelings and reasons for hopelessness, while assessing suicidal ideation and intent carefully. गc) Encourage the client to focus on positive aspects of their life to improve mood. घd) Inform the client's family about the suicidal thoughts without consulting with the client.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

207. A client with schizophrenia consistently expresses beliefs that strangers are attempting to harm them, regardless of evidence to the contrary. The nurse’s best approach is:

     कa) Gently challenge the client's delusions and provide factual information. खb) Acknowledge the client’s feelings and offer support without validating the delusion. गc) Maintain a neutral demeanor, avoid arguing with the client, and focus on observable behaviors. घd) Immediately implement involuntary hospitalization procedures due to potential danger.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

208. A client diagnosed with bipolar disorder is experiencing a manic episode characterized by racing thoughts, pressured speech, and inflated self-esteem. Which nursing intervention would best support the client’s short-term symptoms?

     कa) Encourage the client to engage in detailed journaling of their experiences. खb) Implement strategies to reduce stimulation and promote quiet reflection. गc) Provide a structured environment with clear expectations and limits on activity levels. घd) Facilitate social interaction to reinforce realistic self-perception.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

209. A patient presenting with acute psychosis expresses paranoid delusions, hearing voices that command them to harm themselves. The nurse’s immediate priority should be:

     कa) Encourage the patient to recount the voices and their content in detail. खb) Immediately contact security personnel to remove the patient from the environment. गc) To assess the risk of self-harm and implement safety measures, including a calm and reassuring approach. घd) Administer antipsychotic medication as prescribed by the physician immediately.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

210. A client with anxiety disorder consistently avoids social situations due to fear of judgment. The nurse is using Cognitive Behavioral Therapy (CBT) techniques. Which of the following actions BEST exemplifies this approach?

     कEncouraging the client to relax and accept their anxieties खProviding the client with relaxation techniques such as deep breathing गHelping the client identify and challenge negative thoughts and beliefs related to social situations घSuggesting that the client seeks professional counseling for underlying emotional issues
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।