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 Schizoaffective Disorder is exhibiting disorganized thought patterns and hallucinations. The nurse's approach should be guided by which principle?
सही उत्तर: ख) Maintaining a rigid, structured routine to provide predictability for the client
Option 1 is correct. Person-centered care is central to managing Schizoaffective Disorder. It acknowledges that the client's experiences, including hallucinations and delusions, are real for them and seeks to understand and address their underlying needs in a compassionate and respectful way. Options 2 and 3 aren’t supported, while option 4 would be counterproductive.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression presents with suicidal ideation. According to Nepali Mental Health Act (2072), what is the *immediate* priority for the nurse?
सही उत्तर: ख) Initiating safety precautions, including a seclusion order, and contacting family/support system immediately
Option 1 is correct. The Nepali Mental Health Act (2072) emphasizes immediate safety measures when a client expresses suicidal ideation. This includes securing the environment, contacting support networks, and initiating appropriate intervention protocols. Option 2 represents a proper response but lacks the urgency of immediate risk mitigation, while options 3 and 4 address symptoms without addressing the critical issue of potential harm.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client diagnosed with Schizophrenia who is expressing delusions of persecution. The nurse's role in addressing these delusions should primarily focus on:
सही उत्तर: क) Establishing a trusting therapeutic relationship and actively listening to the client’s concerns
Option 0 is correct. The primary goal in managing delusional thinking in psychosis is to build rapport, understand the client's experience, and collaboratively explore the underlying thoughts and feelings driving the delusion. Options 1 and 2 are inappropriate as direct confrontation can be distressing and exacerbate symptoms; option 3 is focused on education which is secondary to therapeutic alliance. Option 4 represents a passive approach that ignores the client’s distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with bipolar disorder is experiencing manic symptoms including inflated self-esteem, racing thoughts, and impulsivity. Which of the following nursing interventions is MOST appropriate?
सही उत्तर: ग) Validate the client's elevated mood while gently challenging unrealistic beliefs.
Option 2 aligns with best practices in managing mania—validation alongside gentle challenge. A rigid, overly restrictive approach can be detrimental. While other options might be part of a treatment plan, they aren't the most immediate and supportive intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe anxiety exhibits panic attacks characterized by rapid heart rate, shortness of breath, and feelings of impending doom. Which nursing intervention would BEST assist the patient during an acute attack?
सही उत्तर: क) Instruct the patient to focus on their breathing slowly and deeply.
Option 0 is correct; deep, slow breathing helps regulate the autonomic nervous system response during a panic attack. The other options are ineffective or could exacerbate the anxiety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with Schizophrenia is experiencing auditory hallucinations involving critical voices directing them to commit violent acts. Which primary nursing intervention is MOST important?
सही उत्तर: घ) Administer an antipsychotic medication as prescribed.
Option 3 is crucial because assessing immediate risk for harm is paramount. While other interventions have a place, safety takes priority. Administering medication alone doesn't address the behavioral risk. Forensics should be involved *after* assessing immediate danger.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to Freud's psychodynamic theory, which of the following accurately describes the function of the 'Id'?
सही उत्तर: ग) The unconscious reservoir of primitive instincts and drives operating on the pleasure principle.
Option 2 correctly identifies the Id as the part of the personality that operates on the ‘pleasure principle.’ The other options describe aspects of the Ego or Superego. This reflects Freud’s foundational theory.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with disorganized thinking, hallucinations, and delusions. Which of the following nursing interventions is MOST appropriate?
सही उत्तर: ख) Maintain a calm and quiet environment to minimize stimulation.
The correct answer (1) is most appropriate as maintaining a calm, quiet environment aligns with best practices in managing psychotic symptoms. Sedatives could worsen disorientation. Encouraging open expression isn’t always helpful and reality orientation alone may not address the underlying delusions. The other options are less effective immediate responses to disorganized thinking.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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लिथियमको साथ प्रयोग गर्दा केटादुरीको औषधिले लिथियमको विषाक्तताको जोखिमलाई कहिले बढ्याउँछ?
सही उत्तर: ग) Thiazide diuretics
Thiazide diuretics लिथियमको शरीरबाट बाहिरिने दरलाई कम गर्छन्, जसले गर्दा लिथियमको स्तरमा वृद्धि हुन सक्छ।
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client has persistent, intrusive, unwanted thoughts about contamination that cause marked anxiety. These thoughts are called:
सही उत्तर: ग) Obsessions
Obsessions are recurrent intrusive thoughts or urges; compulsions are repetitive behaviours performed to reduce the resulting anxiety.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
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