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 nurse is caring for a client experiencing acute psychosis. The client suddenly begins screaming, thrashing violently, and exhibiting disorganized thought processes. What is the PRIORITY nursing action?
सही उत्तर: ख) Attempt to redirect the client’s attention with conversation
Option 1 is correct. The priority action is administering a sedative medication as the client poses an immediate risk of harm to themselves or others. The other options delay critical intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient with severe depression who expresses feelings of hopelessness and worthlessness. Which intervention would be MOST appropriate to address this client's immediate emotional distress?:
सही उत्तर: ग) Providing empathetic listening and validating the client’s emotions
Option 2 is correct as providing empathy and validation allows the patient to feel heard and understood. This directly addresses feelings of hopelessness. The other options are interventions that may be helpful long-term but don't address immediate distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with bipolar disorder presents with racing thoughts, pressured speech, and inflated self-esteem. Based on these presenting characteristics, which stage of a manic episode is the nurse most likely observing?:
सही उत्तर: ग) Phase 3 (psychotic manic phase)
Option 2 is correct. The symptoms – racing thoughts, pressured speech, and inflated self-esteem – are characteristic of the heightened, most intense period of a manic episode. The other phases have distinctly different symptom profiles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient recently admitted to a mental health unit states, ‘I feel like everyone is watching me and judging my every move.’ This statement most closely reflects which symptom of anxiety?:
सही उत्तर: घ) Depersonalization
Option 3 is correct as this description aligns with the core experience of social phobia and generalized anxiety. The other options represent distinct symptoms or disorders within mental health.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with bipolar disorder is experiencing manic symptoms including pressured speech and inflated self-esteem. What intervention would be MOST helpful in this scenario?
सही उत्तर: क) Encourage the client to engage in quiet, solitary activities.
The correct answer is 0. When a patient experiencing mania needs support, reducing stimulation and establishing structure are essential. The other options would likely exacerbate the manic state. Option 1 & 2 are not effective for mania. Option 3 & 4 are unsuitable because they can be detrimental to someone in acute manic phase.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with delusional thinking about being poisoned insists that the water in their bedpan is contaminated. What is the nurse’s BEST course of action?
सही उत्तर: ग) Explain calmly that the water is safe and discuss possible causes for the delusion.
The correct answer is 2. This situation requires careful management of both the delusional belief and potential safety concerns. Gently explaining the water's safety, combined with exploring underlying factors contributing to the delusion, is a prudent approach. Options 1 & 3 escalate the situation; Option 4 is inappropriate without an immediate risk assessment. The goal is to reduce anxiety associated with believing they are poisoned.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client experiencing acute psychosis states, ‘They’re watching me! I can feel their eyes on my back.’ The nurse's initial response should focus on:
सही उत्तर: ख) Validating the client's feelings and attempting to determine the source of the perceived threat.
The correct answer is 1. The nurse’s initial response should be empathetic and focused on gathering information to assess the situation without reinforcing the delusion. Validating feelings allows for a therapeutic relationship, while restraint should only occur if there is an immediate risk of harm. Options 1 & 2 are inappropriate – restraint risks escalating agitation, and options may not provide any value to this client. Option 3 would be premature.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe anxiety presents with significant muscle tension, restlessness, and difficulty concentrating. Which intervention would be MOST appropriate for this client?
सही उत्तर: ख) Encourage regular aerobic exercise and relaxation techniques.
The correct answer is 1. This scenario describes anxiety symptoms that respond well to lifestyle modifications and relaxation techniques. Regular exercise and relaxation methods are evidence-based interventions for managing anxiety. Options 1 & 2 are incorrect because they could cause dependency or are not the primary treatment of choice. Option 3 provides a setting which may be helpful but needs combined strategies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient experiencing acute anxiety. The patient reports feeling overwhelmed, having difficulty breathing, and experiencing muscle tension. Which of the following nursing interventions would be *most* effective in providing immediate comfort?
सही उत्तर: ख) Encouraging the patient to focus on their surroundings and engage in deep breathing exercises.
Option 1 is correct. Benzodiazepines can quickly reduce acute anxiety symptoms like hyperventilation and muscle tension. While other interventions may be helpful in long-term management, immediate relief requires pharmacologic intervention when appropriate (and ordered). The options presented are less effective as immediate comfort measures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe depression presents with anhedonia (loss of interest in activities) and significant changes in sleep patterns. The nurse observes that the patient consistently expresses feelings of guilt and self-blame even when there’s no identifiable cause. What is the *primary* nursing intervention to address this?
सही उत्तर: ग) Explore the patient's feelings of guilt and self-blame, offering empathy and support.
Option 2 is correct. Addressing negative thought patterns like guilt and self-blame is a crucial part of treating severe depression. While other options contribute to overall well-being, they don’t directly address the core cognitive distortions. Validating and exploring these feelings with empathy is key.
💬 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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