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

31. A client diagnosed with Schizophrenia reports hearing voices that criticize and insult him constantly. Which of the following nursing interventions would be MOST appropriate?

    कEncourage the client to ignore the voices खOffer reassurance that the voices are just a symptom and will eventually disappear गEngage in active listening, validating the client’s experience while gently challenging the reality of the voices घImmediately administer antipsychotic medication as prescribed
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

32. A client presenting with symptoms of acute mania, including pressured speech and racing thoughts, suddenly experiences a period of profound sadness and withdrawal. The nurse’s initial assessment should primarily focus on:

    कAssessing for suicidal ideation and intent खEvaluating the client's medication regimen for stimulant effects गDetermining if the client is experiencing a psychotic episode घChecking vital signs to rule out a medical cause
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

33. A patient with severe anxiety reports experiencing a racing heart, shortness of breath, and feelings of impending doom when faced with stressful situations. Which neurotransmitter system is MOST likely implicated in the etiology of these symptoms?

    कDopamine System खSerotonin System गNorepinephrine (Noradrenaline) System घEndorphin System
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

34. During a mental status examination, a nurse observes that a patient’s facial expressions fluctuate rapidly and inappropriately to statements made by the examiner. This observation BEST describes which aspect of the patient's ‘affect’?

    कMood खThought Process गLevel of Consciousness घCognitive Function
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

35. A client with a history of psychosis expresses the belief that they are being followed by government agents. Which approach BEST exemplifies therapeutic communication in this situation?

    कDirectly challenge the delusional beliefs to restore reality खAttempt to reason with the client using logical arguments गMaintain a calm and neutral demeanor while acknowledging the client’s feelings घImmediately implement restraints to ensure the safety of the client and others
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

36. A patient expresses feelings of hopelessness and worthlessness following the death of their spouse. They report a loss of interest in activities they once enjoyed and experience significant fatigue. Which initial therapeutic intervention would be MOST appropriate for this client?

    कEncourage the patient to focus on positive memories खOffer reassurance that life will eventually get better गProvide empathetic listening and validate the patient's feelings of grief घSuggest engaging in distracting activities like hobbies
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

37. A patient presents with disorganized thinking, illogical speech, and strange beliefs. According to the DSM-5 criteria, this presentation MOST likely indicates which of the following diagnoses?

    कSchizophrenia खMajor Depressive Disorder गGeneralized Anxiety Disorder घObsessive–Compulsive Disorder
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

38. A patient with severe depression reports feeling overwhelmed by guilt and remorse regarding a past event. Which response from the nurse would be MOST therapeutic? (a) ‘You should try to forgive yourself, it’s what you need to do.’ (b) ‘I can see why you feel this way; many people experience similar feelings of regret.’ (c) ‘Let's focus on developing a plan to prevent future mistakes.’ (d) ‘Your guilt is an indication that you care deeply about others and their well-being.’

    क‘You should try to forgive yourself, it’s what you need to do.’ ख‘I can see why you feel this way; many people experience similar feelings of regret.’ ग‘Let's focus on developing a plan to prevent future mistakes.’ घ‘Your guilt is an indication that you care deeply about others and their well-being.’
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

39. A client diagnosed with schizophrenia is exhibiting auditory hallucinations of voices criticizing their appearance. The nurse's primary goal in this situation should be: (a) To reassure the client that the voices are not real and attempt to directly challenge their content. (b) To provide a quiet, distraction-free environment for the client to minimize stimulation. (c) To explore the content of the hallucinations with empathy and without judgment, focusing on the client’s emotional response. (d) To immediately administer antipsychotic medication as prescribed by the physician.

    कTo reassure the client that the voices are not real and attempt to directly challenge their content. खTo provide a quiet, distraction-free environment for the client to minimize stimulation. गTo explore the content of the hallucinations with empathy and without judgment, focusing on the client’s emotional response. घTo immediately administer antipsychotic medication as prescribed by the physician.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

40. A patient presents to the mental health clinic reporting feelings of hopelessness, worthlessness, and difficulty concentrating for several weeks. Which of the following actions is MOST important for the nurse to implement FIRST? (a) Administer a benzodiazepine to reduce anxiety. (b) Encourage the patient to express their feelings openly and without judgment. (c) Immediately initiate antidepressant medication as prescribed by the psychiatrist. (d) Assess the patient’s current medications and substance use history.

    कAdminister a benzodiazepine to reduce anxiety. खEncourage the patient to express their feelings openly and without judgment. गImmediately initiate antidepressant medication as prescribed by the psychiatrist. घAssess the patient’s current medications and substance use history.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।