अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स NCLEX-RN, DHA, HAAD र CBT तयारी
अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स – NCLEX-RN, DHA, HAAD र CBT
NCLEX-RN / DHA / HAAD · NCLEX-RN / DHA / HAAD / CBT
२,०४४ प्रश्न उपलब्ध। मोड छान्नुहोस्:
अन्तर्राष्ट्रिय 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 receiving treatment for obsessive-compulsive disorder (OCD) reports experiencing intrusive thoughts about contamination. Which nursing intervention would be most beneficial?
सही उत्तर: घ) d) Suggesting that the client focus on distracting activities to avoid thinking about contamination.
Option (3) is correct because ERP, a core component of CBT for OCD, directly addresses intrusive thoughts by gradually exposing the client to their fears while preventing compulsive behaviours. The other options are ineffective and can actually reinforce the OCD cycle.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression expresses suicidal ideation stating, 'I just want to disappear.' Which initial nursing intervention is MOST important?
सही उत्तर: ख) b) Encourage the client to verbalize their feelings without judgment and assess for intent and plan.
Option (1) is the most appropriate first step. Assessing intent, planning, and access to means are paramount when dealing with suicidal ideation. Immediate action is necessary while a full assessment is performed. Options (a) & (c) could be harmful, and option (d) involves family before the crucial initial assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia is experiencing auditory hallucinations – hearing voices that tell them to harm themselves. According to the ethical guidelines for mental health nursing, which of the following actions should the nurse prioritize?
सही उत्तर: घ) d) Contact law enforcement immediately without discussing the situation with the patient.
The correct answer is (3). Ethical practice dictates prioritizing client autonomy and safety. Actively listening, validating feelings, and collaborating on a safety plan are crucial steps in managing hallucinations safely. Option (a) could be frightening and disempowering; option (b) endangers the patient; and option (d) bypasses critical therapeutic communication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes a core element of Cognitive Behavioral Therapy (CBT) used in treating anxiety disorders?
सही उत्तर: ख) b) Identifying and modifying negative thought patterns and behaviors.
Option (1) is the most accurate description of CBT. It's fundamentally based on identifying and changing maladaptive thoughts and behaviours that contribute to anxiety. Option (a) describes psychodynamic therapy, option (c) describes hypnosis, and option (d) represents a purely pharmaceutical approach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with bipolar disorder presents with racing thoughts, pressured speech, and inflated self-esteem. The nurse understands that these symptoms are best managed by:
सही उत्तर: ग) c) Initiating a mood stabilizer such as lithium or valproic acid.
The correct answer is (2). During manic episodes of bipolar disorder, mood stabilizers are the primary intervention. The other options represent addressing symptoms superficially or potentially exacerbating the condition. Option (a) would be ineffective in addressing mania directly; option (b) offers minimal symptom management and option (d) requires careful support but doesn't target the underlying biochemical imbalance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports experiencing severe lower back pain that radiates down her legs. She has a history of lumbar stenosis. The nurse should suspect:
सही उत्तर: ग) Placental Insufficiency
The correct answer is 2. Severe, radiating back pain in pregnancy can be a sign of spinal cord compression, exacerbated by conditions like placental insufficiency or lumbar stenosis which the patient has a history of. Multiple sclerosis and labor induction are less likely causes given the described symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a home visit, a nurse observes a 6-month-old infant who is showing signs of dehydration: decreased skin turgor, dry mucous membranes, and sunken eyes. The nurse’s next step should be to:
सही उत्तर: क) Administer an oral electrolyte solution
The correct answer is 0. Administering an oral electrolyte solution is the immediate intervention for dehydration in a young infant. The other options are appropriate supportive measures, but they do not address the underlying fluid deficit as directly as an electrolyte solution.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant has a bluish discoloration of the skin around the mouth and tongue, accompanied by small, white spots on the buccal mucosa. The nurse recognizes this finding as indicative of:
सही उत्तर: ख) Koplik's spots
The correct answer is 1. Koplik’s spots are characteristic of congenital rubella infection, appearing in the first few days of life. The other options – Rinovirus infection, neonatal jaundice, and transient neonatal tachypnea – present with different clinical signs and symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a pregnant woman in her third trimester who reports experiencing intermittent uterine contractions. The fetal heart rate remains reassuring. The nurse's priority action is to:
सही उत्तर: ख) Perform a vaginal examination
The correct answer is 1. Performing a vaginal examination is the primary immediate step in assessing labor. Maintaining reassurance regarding the fetal heart rate indicates no acute fetal distress. The other options are not the most urgent initial action – oxygen administration, BP/pulse monitoring, and assessing fetal movement can be done concurrently but examining the cervix is key to determining if true labor is established.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to assist a client who has recently undergone a total hip replacement. Which action demonstrates the BEST approach?
सही उत्तर: ख) Encourage the client to ambulate as soon as possible with minimal assistance.
Early mobilization is key after a total hip replacement. While ice packs, prone positioning, and elevating the leg can be part of the care plan, encouraging ambulation early prevents stiffness and promotes faster recovery. The correct initial step focuses on restoring mobility.
💬 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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