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 severe depression suddenly stops taking their prescribed antidepressant medication and states, ‘It’s not working; nothing will ever make me feel better.’ What is the MOST important nursing action?
सही उत्तर: घ) Schedule a referral to a psychiatrist for evaluation
The primary concern is assessing for suicide risk. Sudden discontinuation of antidepressants can cause withdrawal symptoms and worsen depression. While medication adjustment may be needed, immediate safety assessment takes precedence.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of Obsessive-Compulsive Disorder (OCD) reports engaging in repetitive handwashing rituals following exposure to dirt. Which therapeutic approach is MOST suitable for this client?
सही उत्तर: ख) Cognitive Behavioral Therapy (CBT)
CBT is a proven effective therapy for OCD that focuses on identifying and modifying maladaptive thoughts and behaviors. While medication can be helpful, CBT addresses the core issues of the disorder.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When assessing a client experiencing acute psychosis, the nurse observes the client muttering to themself and appearing agitated. Which intervention is MOST appropriate at this time?
सही उत्तर: ख) Offer reassurance that they are safe and help is available
Offering reassurance and ensuring safety is crucial for a psychotic patient. The other options could exacerbate agitation or may not be immediately appropriate given the acute nature of their distress. Medication administration requires physician orders.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with disorganized thinking, tangential speech, and a lack of awareness of their surroundings. Which of the following diagnoses is MOST likely?
सही उत्तर: क) Schizophrenia
Schizophrenia is characterized by disorganized thought processes like these symptoms. The other options represent distinct disorders with different primary symptom profiles – Bipolar Disorder involves mood swings, Major Depression focuses on sadness and hopelessness, and Anxiety Disorders involve excessive worry and fear.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing delusions of persecution, believing that their neighbors are deliberately trying to poison them, displays a primary symptom associated with which mental health condition?
सही उत्तर: ख) b) Schizophrenia Spectrum Disorder
Delusions of persecution (believing others are trying to harm you) is a hallmark symptom of Schizophrenia Spectrum Disorder. Options a, c, and d represent distinct conditions with different core symptoms – dissociative disorder involves fragmented identities, PTSD involves flashbacks related to traumatic events, and borderline personality disorder involves unstable relationships and emotional regulation
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression expresses suicidal ideation accompanied by feelings of hopelessness and worthlessness. Which assessment question demonstrates the *most* effective approach to assess for imminent risk of suicide?
सही उत्तर: ग) c) ‘Do you have a plan to harm yourself’
Asking directly about suicidal ideation and a plan is the most effective way to assess immediate risk. While options a, c, and d are important components of an assessment, they do not specifically address the presence of a concrete plan, which is a critical indicator of imminent danger (reference NCLEX-RN Content Outline).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing acute agitation and catatonia following an antipsychotic medication reaction requires immediate intervention. Which of the following interventions would be the *most* appropriate initial step?
सही उत्तर: ख) b) Implementing restraints to ensure safety
Benzodiazepines are commonly used as an antidote for antipsychotic-induced catatonia, which is characterized by immobility and withdrawal from reality. Restraints should be a last resort after exhausting other interventions to minimize patient distress (option b).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presenting with disorganized thought processes, auditory hallucinations involving commands from strangers, and paranoid delusions is exhibiting signs most consistent with:
सही उत्तर: ख) b) Schizophrenia Spectrum Disorder
Schizophrenia Spectrum Disorder (SSD) includes symptoms like disorganized thought, hallucinations, and delusions. While other options may present with psychotic features, the combination of disorganized thought and auditory hallucinations is most indicative of SSD.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing severe anxiety related to social situations, characterized by intense fear of being judged or scrutinized by others, most appropriately demonstrates symptoms associated with which mental health disorder?
सही उत्तर: ख) b) Generalized Anxiety Disorder
Generalized Anxiety Disorder (GAD) is defined by persistent and excessive worry about various events or activities. Options a, c, and d represent distinct disorders with different primary symptoms – schizophrenia involves psychosis, bipolar disorder features mood swings, and OCD involves intrusive thoughts and compulsions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe anxiety presents with physical symptoms such as rapid heart rate, shortness of breath, and muscle tension. The nurse recognizes these are manifestations of the anxiety. Which nursing intervention would BEST manage these acute symptoms?
सही उत्तर: ख) Encourage the client to engage in deep breathing exercises
Encouraging the client to engage in deep breathing exercises is a non-pharmacological intervention that directly targets the physiological symptoms of anxiety. Benzodiazepines can have side effects, reassurance can exacerbate anxiety, and a detached demeanor won’t provide immediate relief.
💬 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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