NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 249
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1. Visual hallucinations is seen in:
a. Alcoholism
b. Mania
c. Depression
d. Phobia
Answer: a. Alcoholism
Description:Visual hallucinations can occur in several different conditions, but among the options provided, visual hallucinations are most commonly associated with alcoholism (option a). Alcohol withdrawal or chronic alcohol abuse can lead to a range of neurological and psychiatric symptoms, including visual hallucinations. These hallucinations are often a result of alcohol-induced changes in the brain and can include seeing things that are not actually there. While visual hallucinations can occur in other conditions as well, such as certain forms of psychosis, they are not typically associated with mania (option b), depression (option c), or phobia (option d). However, it's important to note that hallucinations can be a complex symptom and may occur in a variety of medical and psychiatric conditions, so a comprehensive evaluation by a healthcare professional is essential for an accurate diagnosis and appropriate treatment.
2. Heroin is a form of:
a. Tobacco
b. Poppy
c. Datura
d. Cannabis
Answer: b. Poppy
Description:Heroin is derived from the opium poppy plant, and it is a powerful and illegal opioid drug. It is not related to tobacco (option a), datura (option c), or cannabis (option d).
3. Among the following identify the late sign of heroine withdrawal:
a. Dysphoric mood
b. Lacrimation
c. Vomiting and diarrhea
d. Muscle cramps
Answer: c. Vomiting and diarrhea
Description:Vomiting, diarrhea, muscle spasm, fever, nausea abdominal cramps and backache are the common late signs of heroine withdrawal
4. LSD is also known as:
a. Brown sugar
b. Mind blocker
c. Mind expander
d. Glue
Answer: c. Mind expander
Description:LSD is also known as: c. Mind expander.
5. Which of the priority concern in a nurse while caring for a client with opioid addiction is:
a. Difficult arousing the patient
b. Oxygen saturation of 95%
c. Respiratory rate 12 breaths/min
d. Pain score 50 on scale of 0 to 100
Answer: a. Difficult arousing the patient
Description:When caring for a client with opioid addiction, the nurse's primary concern should be the client's level of consciousness and ability to be aroused. Opioid overdose can lead to respiratory depression and, in severe cases, respiratory arrest, which can be life-threatening. Ensuring that the client can be aroused and is breathing adequately is crucial in this situation. While monitoring oxygen saturation (option b), respiratory rate (option c), and pain score (option d) are important aspects of care, they are secondary concerns when compared to the immediate risk of respiratory depression or arrest associated with opioid overdose.
6. In a client with substance abuse, which is the best indicator to assess the client’s progress in rehabilitation?
a. Perform all the activities of daily living independently
b. The number of drug-free days he has
c. Taking all the prescribed drugs on time
d. Willing to come for follow up
Answer: b. The number of drug-free days he has
Description:This indicator reflects the client's ability to abstain from drug use and maintain sobriety, which is a crucial measure of rehabilitation progress in substance abuse treatment. While other factors like performing activities of daily living independently (option a), taking prescribed medications on time (option c), and willingness to come for follow-up (option d) are important aspects of care, the number of drug-free days directly reflects the client's success in overcoming substance abuse.
7. Substance abuse refers to:
a. Developing tolerance for substance
b. Maladaptive pattern of substance use
c. Experiencing withdrawal symptoms on stopping and substance.
d. Psychological depended on drugs.
Answer: b. Maladaptive pattern of substance use
Description:Substance abuse is characterized by a maladaptive pattern of substance use that leads to significant impairment or distress. This pattern may include behaviors such as using the substance in larger amounts or for longer periods than intended, unsuccessful efforts to cut down or control use, and continued use despite adverse consequences. Developing tolerance (option a), experiencing withdrawal symptoms (option c), and psychological dependence (option d) are components often associated with substance abuse but are not the primary definition of it.
8. ICD-10 diagnostic criteria for drug dependence syndrome include all; EXCEPT:
a. Development of tolerance
b. Episodic use of substances
c. Appearance o withdrawal symptoms on stopping the substances
d. A strong craving for the substances
Answer: b. Episodic use of substances
Description:The other options—development of tolerance (a), appearance of withdrawal symptoms on stopping the substances (c), and a strong craving for the substances (d)—are criteria that are typically associated with drug dependence syndrome. Episodic use of substances suggests intermittent or occasional use rather than the consistent and maladaptive pattern of use seen in drug dependence syndrome.
9. Drug dependence refers to:
a. Harmful pattern of substance use
b. Physiological and psychological depended on substance
c. Habitual use substances
d. Experiencing psychotic symptoms due to substance use.
Answer: b. Physiological and psychological depended on substance
Description:Drug dependence involves both physiological and psychological reliance on a substance, leading to a compulsive and often harmful pattern of use. While some of the other options may be associated with drug dependence, such as a harmful pattern of substance use (option a) and habitual use of substances (option c), the key feature of drug dependence is the presence of both physiological and psychological dependence. Experiencing psychotic symptoms due to substance use (option d) can be a consequence of substance abuse but is not the primary definition of drug dependence.
10. Who coined the term schizophrenia?
a. Eugene Bleuler
b. William Tuke
c. Karl Menninger
d. John Weber
Answer: a. Eugene Bleuler
Description:The term schizophrenia is coined by Eugene Bleuler
11. In schizophrenia, gradual subtle behavioral changes occur in:
a. The premorbid phase
b. The prodromal phase
c. The onset phases
d. The progressive phase
Answer: b. The prodromal phase
Description:The prodromal phase of schizophrenia is characterized by subtle behavioral changes and symptoms that may precede the full-blown onset of the disorder. These changes often include social withdrawal, decreased functioning, and other early signs that indicate the development of the illness.
12. The following are presenting symptoms of patient with catatonic schizophrenia; EXCEPT:
a. Sudden onset of mutism
b. Have dangerous periods of agitation and explosive behavior
c. Disorganized behavior and speech
d. Stereotyped position with waxy flexibility.
Answer: c. Disorganized behavior and speech
Description:Catatonic schizophrenia is characterized by disturbances in movement and behavior, such as mutism (option a), agitation (option b), and stereotyped positions with waxy flexibility (option d). Disorganized behavior and speech, on the other hand, are more commonly associated with the disorganized subtype of schizophrenia rather than catatonic schizophrenia.
13. Which of the following not a part of Bleuler’s 4 A’s?
a. Ambivalence
b. Avolition
c. Associative loosening
d. Autistic thinking
Answer: b. Avolition
Description:Avolition, which refers to a lack of motivation or an inability to initiate and sustain purposeful activities, is not one of Bleuler's 4 A's. It is often associated with schizophrenia but is not part of this specific classification system.
14. According to DSM IV, the positive symptoms of Schizophrenia include: a. Hallucination b. Delusion c. Flat affect d. Bizarre behavior
a. a, b, c
b. b, c, d
c. a, c, d
d. a, b, d
Answer: d. a, b, d
Description:According to DSM-IV, the positive symptoms of schizophrenia include: a. Hallucination b. Delusion d. Bizarre behavior So, the correct answer is: d. a, b, d
15. Mr., Raju says that he is the first lead of the world and he is born with a special mission in life. These are the symptoms of:
a. Autochthonous delusion
b. Delusion of grandeur
c. Delusion of persecution
d. Delusion of reference
Answer: b. Delusion of grandeur
Description:The symptoms described, where Mr. Raju believes he is the first lead of the world and born with a special mission in life, are indicative of: b. Delusion of grandeur Delusions of grandeur involve an exaggerated sense of one's importance, power, or identity, often believing oneself to be unique, special, or even divine.
16. Mrs. Gowri, on assessment, shows the following behavior.
a. Maintaining rigid posture
b. Being mute
c. Hear “God’s voiceâ€
d. Repeating the phrases.
Answer: c. Hear “God’s voiceâ€
Description:Auditory hallucinations involve perceiving sounds or voices that are not actually present, and in this case, she is hearing voices, specifically God's voice. This is a common symptom in conditions like schizophrenia and certain other mental health disorders.
17. A client with schizophrenia unlikely to demonstrate:
a. Low self-esteem
b. Ambivalence
c. Effective self-boundaries
d. Weak ego
Answer: c. Effective self-boundaries
Description:Inability to maintain adequate boundaries is the feature of schizophrenic patients.
18. The most frequent period of onset of schizophrenia is:
a. Late adolescence to early adulthood
b. Childhood
c. Middle age
d. Old age
Answer: a. Late adolescence to early adulthood
Description:Schizophrenia typically first appears during late adolescence to early adulthood, with the onset commonly occurring in the late teens or early twenties. This period is often referred to as the "critical period" for the development of schizophrenia.
19. Characteristic of Paranoid personality disorder include:
a. Establish a structured daily routine
b. Plan a programme of self-fulfillment.
c. Provide patient and other with safe environment
d. Do mini mental status examination.
Answer: c. Provide patient and other with safe environment
Description:Patient is suffering from paranoid schizophrenia, so the priority nursing intervention is to provide a safe environment for patient and others.
20. Characteristics of paranoid personality disorder include:
a. Constantly on guard and hypervigilant
b. Appear tense and irritable
c. Avoid interaction with other people
d. All of the above.
Answer: d. All of the above.
Description:People with paranoid personality disorder are often constantly on guard and hypervigilant (option a), they may appear tense and irritable (option b), and they tend to be suspicious of others and avoid interaction with people they don't trust (which can be interpreted as avoiding interaction with other people, as mentioned in option c).
21. Delusions of grandeur means:
a. Someone usually in higher status is in love with them.
b. Irrational ideas regarding their own worth, talent, knowledge or powder
c. Sexual partner is unfaithful
d. They are being malevolently treated in some way.
Answer: b. Irrational ideas regarding their own worth, talent, knowledge or powder
Description:Individuals experiencing delusions of grandeur have an inflated sense of their own importance and believe they possess special abilities, knowledge, or talents that are typically unrealistic or unfounded.
22. The prominent symptom that lasts at least for 1 month and helpful to diagnose paranoid schizophrenia is:
a. Delusions and hallucinations
b. Poverty of speech with apathy
c. Bizarre behaviour associated with drug use
d. Disturbed relationship and poor grooming
Answer: a. Delusions and hallucinations
Description:In paranoid schizophrenia, the most characteristic and prominent symptoms are delusions (strongly held false beliefs) and hallucinations (perceiving things that are not real, often auditory in nature). These symptoms are often the key features used to diagnose this subtype of schizophrenia.
23. When the person feels both positive and negative toward same object it is known as:
a. Ambivalent
b. Occasionally appropriate
c. Positive affect
d. Inappropriate
Answer: a. Ambivalent
Description:When a person feels both positive and negative emotions or attitudes toward the same object or situation, it is known as: a. Ambivalent
24. Impaired insight is evident in:
a. Psychosomatic disorder
b. Anxiety neurosis
c. Post-traumatic stress disorder
d. Schizophrenia
Answer: d. Schizophrenia
Description:In schizophrenia, individuals may have difficulty recognizing the presence of their illness or the irrationality of their thoughts and behaviors. This lack of insight into their condition is referred to as impaired insight or anosognosia and is a characteristic feature of the disorder.
25. Which of the following is not true about hallucinations?
a. It is a disorder of perception
b. It is always pathological
c. It is different from imagery
d. It occurs on objective space.
Answer: b. It is always pathological
Description:Hallucinations can be pathological, but they can also occur in non-pathological situations, such as during vivid dreams or certain altered states of consciousness. In these cases, hallucinations are not necessarily indicative of a mental disorder.
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