NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 254
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1. Which of the following is the most lethal method of suicide?
a. Wrist cutting
b. Taking poison
c. Use of gun
d. Drowning
Answer: c. Use of gun
Description:The use of a gun is the most lethal method of suicide. According to the Center for Disease Control and Prevention (CDC), firearms account for over half of all suicide deaths in the United States. Other methods of suicide, such as wrist cutting, taking poison, and drowning, are less likely to be successful. However, they can still be fatal, and it is important to seek help immediately if you or someone you know is considering suicide.
2. Common risk factors in patient with sever depression is:
a. Fatigability
b. Hallucinations
c. Agitation
d. Suicidal tendency
Answer: d. Suicidal tendency
Description:While the other symptoms mentioned (fatigability, hallucinations, and agitation) can also be associated with depression, suicidal tendencies are a significant and serious risk factor in individuals with severe depression. It's important to note that depression can manifest differently in different individuals, and not everyone with depression will experience the same symptoms. However, suicidal thoughts or behaviors are a critical concern and require immediate attention and intervention. If you or someone you know is experiencing suicidal thoughts, it is crucial to seek help from a mental health professional or a crisis hotline immediately.
3. Which of the following comments, if made by a patient who has major depression would indicated an increased risk of suicide?
a. I don’t want to share my problem with any one
b. I won’t be a problem much longer
c. My family members are not giving me the medication daily
d. I don’t have any plan to kill my self
Answer: b. I won’t be a problem much longer
Description:Option b indicated the patient is having suicidal ideas and nurse has to intervene immediately
4. The type of delusion commonly seen in depression is/are:
a. Delusion of Nihilism
b. Delusion of poverty
c. Delusion of persecution
d. All of the above.
Answer: d. All of the above.
Description:All of the above mentioned delusions are apparent in depression
5. Identify the correct statement regarding suicide:
a. Suicidal people have definitive clues and warning about their plan
b. Suicidal people are ambivalent about their feeling s
c. Suicidal thoughts are only for limited period of time
d. All of the above.
Answer: d. All of the above.
Description:All of the above statements are true regarding suicide thoughts in an individual.
6. Most appropriate nursing intervention for a client with has history of suicidal attempt and currently on suicidal tendency is:
a. Give him privacy
b. Allow him to urinate
c. Open the window and allow him to get some fresh air
d. Observe him continuously
Answer: d. Observe him continuously
Description:Continuous nursing observation is regular involved of patient at risk of suicide. Providing privacy will affect observation. Other interventions are not appropriate for suicidal client.
7. Go through the following statement and identify the most appropriate one for depression:
a. Causes may include chemical imbalance in the brain and stressful life events.
b. Dysthymia is also a type of depressive disorder
c. Includes symptoms such as loss of interest, sadness, weight loss and worthless feelings
d. All of the above.
Answer: d. All of the above.
Description:This is because depression can be caused by various factors, including a chemical imbalance in the brain and stressful life events (as mentioned in option a). Depression can manifest in different forms, and dysthymia is indeed one of the types of depressive disorders (as mentioned in option b). Additionally, depression includes symptoms such as loss of interest, sadness, weight loss, and feelings of worthlessness (as mentioned in option c). Therefore, all of these statements are relevant to depression.
8. Extremely depressed clients are anticipated to perform well in setting where they:
a. Have support from someone
b. Do routine activities
c. Have somebody to assist
d. Have varied daily activities
Answer: b. Do routine activities
Description:Extremely depressed clients often find it challenging to engage in various activities or cope with complex situations. Routine activities can provide structure and predictability, which may be more manageable for individuals experiencing extreme depression. It can help create a sense of stability and control in their lives, even when other forms of support or assistance may be limited.
9. Most common psychiatric illness seen in majority in India is:
a. Mania
b. Depression
c. Schizophrenia
d. OCD’s
Answer: b. Depression
Description:Depression is one of the most prevalent mental health conditions worldwide, and it is also a leading psychiatric illness in India. It affects a significant portion of the population, making it the most common mental health disorder in the country.
10. Most common psychiatric disorder is:
a. Dementia
b. Schizophrenia
c. Depression
d. Paranoia
Answer: c. Depression
Description:Depression is one of the most common psychiatric disorders globally and is often more prevalent than conditions like dementia, schizophrenia, or paranoia. It affects a significant portion of the population and is a leading cause of disability worldwide.
11. Which of the following would be the most appropriate cognitive intervention for a client with major depressive disorder?
a. Promote active socialization with other patients
b. Role play to increase assertiveness skills
c. Focus on identifying strengths and accomplishments
d. Encourage journaling of underlying feelings.
Answer: c. Focus on identifying strengths and accomplishments
Description:While various interventions can be beneficial for individuals with major depressive disorder, focusing on identifying strengths and accomplishments can be particularly helpful. Depression often leads to negative thinking patterns and a focus on perceived weaknesses and failures. By helping the client recognize their strengths and past accomplishments, it can promote a more positive and hopeful outlook. This approach is in line with cognitive therapy techniques that aim to challenge and reframe negative thought patterns.
12. Which of the following symptoms is not a sign of depression?
a. Disrupted sleep
b. Lethargy
c. Worthlessness
d. Uninhibited socialization
Answer: d. Uninhibited socialization
Description:Depression often leads to social withdrawal and a lack of interest in social activities. Therefore, uninhibited socialization, where a person continues to engage in social activities without reservation, is not a common symptom of depression. In contrast, disrupted sleep, lethargy, and feelings of worthlessness are more characteristic of depressive symptoms
13. which of the following is not a symptom of depression?
a. Loss of interest in daily activities
b. Delusion of guilt
c. Suicidal ideas
d. Delusion of grandiosity
Answer: d. Delusion of grandiosity
Description:Depression is characterized by symptoms such as a persistent low mood, loss of interest in daily activities, feelings of worthlessness, and in some cases, suicidal thoughts (options a, b, and c). Delusions of grandiosity, on the other hand, are more commonly associated with conditions like bipolar disorder or certain types of psychosis, rather than depression. These delusions involve an inflated sense of self-importance and abilities, which is not a typical feature of depression.
14. Structural and functional abnormalities in which of the following part of brain in associated with Major depression?
a. Amygdala
b. Brain stem
c. Pituitary gland
d. Cerebrum
Answer: a. Amygdala
Description:Structural and functional abnormalities in the amygdala are associated with major depression. The amygdala is a part of the brain that plays a key role in processing emotions, including negative emotions such as fear and sadness. In individuals with major depression, there can be changes in the size and functioning of the amygdala, which are thought to contribute to the emotional and mood-related symptoms of the disorder. The other brain regions mentioned (brain stem, pituitary gland, and cerebrum) may also play roles in depression, but the amygdala is particularly well-known for its involvement in the condition.
15. Helplessness, hopelessness and worthlessness are the characteristics features of:
a. BPAD with mania
b. Paranoid schizophrenic
c. Depression
d. Acute stress disorder
Answer: c. Depression
Description:These are common emotional and psychological symptoms of depression, which is a mood disorder characterized by persistent low mood, loss of interest or pleasure in activities, and negative thoughts and feelings, including feelings of helplessness, hopelessness, and worthlessness. Bipolar disorder (BPAD with mania) and paranoid schizophrenia can also involve various emotional and cognitive symptoms, but these specific characteristics are more closely associated with depression.
16. Risk of suicide is high in patients with:
a. Mania
b. Major depression
c. Paranoid schizophrenic
d. Substance abuse
Answer: b. Major depression
Description:Individuals with major depression are at a significantly elevated risk of suicidal ideation and behavior. Depression often includes feelings of hopelessness and despair, which can lead to thoughts of self-harm or suicide. It's important to take suicidal thoughts and behaviors seriously and seek appropriate professional help when dealing with individuals experiencing major depression or any other mental health condition associated with suicidal risk. While other conditions like mania, paranoid schizophrenia, and substance abuse can also increase the risk of suicide, major depression is particularly well-known for its strong association with suicidal tendencies.
17. Prevalence of suicide is high among patients with:
a. Schizophrenic disorders
b. Neurotic stress related disorders
c. Personality disorders
d. Mood disorders
Answer: d. Mood disorders
Description:Mood disorders, such as major depressive disorder and bipolar disorder, are strongly associated with an increased risk of suicide. Individuals with mood disorders often experience intense and persistent emotional symptoms, including feelings of hopelessness and despair, which can lead to suicidal thoughts and behaviors. It's essential for individuals with mood disorders to receive appropriate mental health care and support to address these risks. While suicide can also occur in individuals with other psychiatric disorders, mood disorders are particularly noteworthy for their association with a higher suicide risk.
18. A mood disorder that consists of the same cognitive and physical problems as in depression, with less severe but longer lasting symptoms is known as:
a. Melancholia
b. Dysthymic disorder
c. Cyclothymic disorder
d. Bipolar affective disorder with depression
Answer: b. Dysthymic disorder
Description:Dysthymic disorder, also known as persistent depressive disorder (PDD), is a type of mood disorder characterized by long-term, chronic symptoms of depression that are less severe than those seen in major depressive disorder but last for an extended period, typically lasting for at least two years. Melancholia, cyclothymic disorder, and bipolar affective disorder with depression are distinct mood disorders with different features and characteristics.
19. In Bipolar II disorder, hypomanic episodes alternate with periods of:
a. Hyperventilation
b. Major depressive disorders
c. Elation and euphoria
d. Obsession and compulsion
Answer: b. Major depressive disorders
Description:Bipolar II disorder is characterized by episodes of hypomania, which are less severe than full-blown manic episodes, alternating with periods of major depressive episodes. This cycling between hypomania and depression is a key feature of Bipolar II disorder.
20. Which of the following is not true about major depressive disorder:
a. Commonly seen in females
b. Recovery is complete after treatment
c. Associated with hypothyroidism
d. Family history of major depression
Answer: b. Recovery is complete after treatment
Description:While many individuals with MDD can experience significant improvement in their symptoms with treatment, it is not always the case that recovery is complete for everyone. Some people may have recurrent episodes of depression throughout their lives, and others may experience residual symptoms even after treatment. The course of MDD can vary from person to person, and for some individuals, it may become a chronic condition. Therefore, complete recovery is not guaranteed for everyone with major depressive disorder.
21. A 25 year old woman complains of intense depressed mood for 6 months with inability to enjoy previously pleasurable activities. This symptom is known as:
a. Anhedonia
b. Avolition
c. Apathy
d. Amotivation
Answer: a. Anhedonia
Description:Anhedonia is a characteristic feature of major depressive disorder (MDD) and refers to the loss of interest or pleasure in activities that were once enjoyable. It is one of the key diagnostic criteria for MDD. Avolition, apathy, and amotivation are related terms often seen in other mental health conditions but are not specific to anhedonia in the context of depression.
22. An example of hybrid disorder is:
a. Borderline personality disorder
b. Eating disorder
c. Paranoid personality disorder
d. Mixed anxiety depressive disorder r
Answer: d. Mixed anxiety depressive disorder r
Description:Mixed anxiety depressive disorder is a psychiatric condition characterized by both anxiety and depressive symptoms occurring simultaneously. It can be challenging to diagnose and treat because it involves features of both anxiety disorders and depressive disorders. This condition is considered a hybrid or mixed disorder because it doesn't neatly fit into one specific category and includes elements of both anxiety and depression.
23. The best way to assess suicidal risk of a patient is by:
a. Indirectly asking for the clues
b. Directly questions the patient on suicidal thoughts
c. Observe for cues
d. None of the above
Answer: b. Directly questions the patient on suicidal thoughts
Description:Directly asking the patient about their thoughts and feelings regarding suicide is a crucial and appropriate approach to assess their suicidal risk. This direct inquiry allows healthcare professionals to gather important information about the patient's state of mind, intentions, and the severity of their suicidal thoughts. It helps in determining the level of risk and the appropriate intervention needed to ensure the patient's safety. Indirectly asking for clues and observing for cues can be valuable as well, but direct questioning is the most effective and direct way to assess suicidal risk.
24. Which of the following takes priority while planning care plan for a patient with suicidal risk?
a. Safety
b. Sleep
c. Self-esteem
d. Elimination
Answer: a. Safety
Description:The safety of the patient is paramount. Ensuring that the patient is safe from harm and has a supportive environment that minimizes the risk of suicide is the primary concern. Once safety is established, other aspects of care, including addressing sleep, self-esteem, and elimination issues, can be addressed as part of a comprehensive treatment plan. However, safety must always be the immediate and highest priority in cases involving suicidal risk.
25. Recurrent suicidal tendencies are seen in:
a. Schizophrenia
b. Sever depression
c. Borderline personality disorder
d. All of the above.
Answer: d. All of the above.
Description:Recurrent suicidal tendencies can be observed in individuals with schizophrenia, severe depression, and borderline personality disorder, among other mental health conditions. Suicidal thoughts and behaviors can occur in various psychiatric disorders, and they should be taken seriously and addressed with appropriate care and intervention.
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