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 experiencing acute psychosis states they see their deceased mother sitting across from them at dinner. Which nursing action demonstrates the MOST appropriate response? a) Immediately administer a benzodiazepine to calm the client. b) Gently encourage the client to focus on reality and describe what’s happening around them in detail. c) Ask the client leading questions about her family history to try to identify any stressors that might be contributing to the delusion. d) Agree with the client that her mother is present, as this may reduce her distress.
सही उत्तर: ख) b) Gently encourage the client to focus on reality and describe what’s happening around them in detail.
Encouraging the client (b) to focus on reality and describe their surroundings is the MOST appropriate initial action. This attempts to ground the client in the present moment without directly confronting or challenging the delusion, which can escalate agitation. The other options are not ideal because they could reinforce delusional thinking (a & d) or lead to further questioning of a potentially fragile state (c).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions is MOST important for a nurse implementing a behavioral activation plan with a client diagnosed with severe depression? a) Encouraging the client to maintain a strict sleep schedule. b) Facilitating structured activities that provide opportunities for social interaction and accomplishment. c) Promoting relaxation techniques such as deep breathing exercises. d) Providing detailed information about the pathophysiology of depression.
सही उत्तर: ख) b) Facilitating structured activities that provide opportunities for social interaction and accomplishment.
Behavioral activation (b) is a core component of treating severe depression, focusing on increasing engagement in rewarding activities. A structured approach with social interaction and accomplishment has the greatest chance of improving mood and motivation. The other options are supportive interventions but do not address the core treatment principle.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Obsessive-Compulsive Disorder (OCD) reports repeatedly checking if the stove was left on after preparing a meal. This behavior is best described as: a) A delusion b) An intrusive thought c) A compulsion d) A phobia
सही उत्तर: ग) c) A compulsion
An intrusive thought (b) accurately describes the client's experience – recurrent, unwanted thoughts that cause distress. Delusions (a) are false beliefs held despite evidence to the contrary. Compulsions (c) are repetitive behaviors performed to reduce anxiety caused by intrusive thoughts. A phobia (d) involves fear of a specific object or situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with Schizophrenia is exhibiting auditory hallucinations - hearing voices that criticize them. Which of the following interventions would be MOST appropriate for the nurse to implement? a) Encourage the patient to engage in structured activities to distract from the voices. b) Provide a quiet, calming environment and actively listen to the patient's concerns without judgment. c) Immediately administer an antipsychotic medication as prescribed. d) Suggest that the patient tries meditation or yoga techniques to manage stress.
सही उत्तर: ख) b) Provide a quiet, calming environment and actively listen to the patient’s concerns without judgment.
The most appropriate intervention is (b). Active listening and a calm environment are crucial for validating the patient's experience with hallucinations, building trust, and reducing anxiety. Distraction (a), medication alone (c), and relaxation techniques (d) may be adjunct therapies but do not address the core issue of managing the hallucination itself.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the mental health clinic reporting persistent feelings of hopelessness, worthlessness, and difficulty experiencing pleasure. They also express a belief that life has no meaning. Based on these symptoms, which diagnostic category would be MOST appropriate to consider first? a) Schizophrenia b) Major Depressive Disorder c) Generalized Anxiety Disorder d) Bipolar I Disorder
सही उत्तर: ख) b) Major Depressive Disorder
Major Depressive Disorder (b) is the most appropriate initial consideration given the client's reported symptoms of hopelessness, worthlessness, and anhedonia. While other diagnoses might be considered later, the core presentation strongly aligns with Major Depressive Disorder criteria. Options a), c), and d) are less likely given the description.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with schizophrenia frequently talks about persecutors who are trying to harm them, despite no objective evidence. Which intervention is *least* appropriate in this situation?
सही उत्तर: ग) Maintain a calm and respectful demeanor while minimizing interaction
Option (2) is incorrect. Directly challenging delusional beliefs is generally ineffective and can damage the nurse-client relationship. It’s more important to validate the client's feelings and focus on safety. The other options represent appropriate interventions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with bipolar disorder who is experiencing manic symptoms including racing thoughts and pressured speech. The client states, ‘I have so many ideas I need to share, everyone needs to hear them!’ What is the *most* appropriate nursing intervention?
सही उत्तर: ख) Limit stimulation by reducing noise levels in the environment
Option (1) is correct because minimizing external stimuli is a key initial intervention for managing manic symptoms. It provides a calmer environment and helps reduce the intensity of the client's experiences. The other options are either unhelpful or could potentially exacerbate agitation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with severe depression expresses intense feelings of worthlessness and believes they are a burden to their family. Which therapeutic communication technique would be *most* effective in addressing these statements?
सही उत्तर: घ) “Let's explore what makes you feel this way and identify coping strategies.”
Option (3) is correct because it uses reflective listening – acknowledging the client’s feelings and then using open-ended questions to guide a deeper exploration. This approach validates their emotions while encouraging self-reflection. Options 1 & 2 offer unsolicited advice; option 4 is too directive.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic schizophrenia reports hearing voices that tell them to harm themselves. The client denies any suicidal ideation but expresses feelings of hopelessness and worthlessness. What is the nurse’s *primary* intervention?
सही उत्तर: घ) Offer reassurance that the voices are not real and will eventually disappear.
The correct answer (3) prioritizes creating a safe environment and implementing a safety plan. This aligns with best practices in managing psychosis and reducing immediate risk. The other options address secondary interventions or might inadvertently reinforce delusional thinking. It is crucial to focus on support and proactive safety measures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with Alzheimer's disease repeatedly asks the same questions and becomes agitated when unable to find familiar objects in the room. Which nursing intervention would BEST support this client’s cognitive needs?
सही उत्तर: ख) Create a calm and predictable environment with simplified visual cues.
A calming, predictable environment that minimizes confusion and utilizes simple visual aids is most effective for clients with Alzheimer’s disease. Rigid schedules can be distressing; complex tasks are beyond their cognitive capacity; and electronics often cause more frustration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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