RRB Staff Nurses Exam Solved Question 2024
RRB Staff Nurses Exam Solved question 2024
1. A patient with schizophrenia has potential to harm self as well as others in the ward. Which the most appropriate nursing intervention?
a. Maintain low level of stimulation; be alert for signs of increasing anxiety and agitation
b. Assess the nature of severity
c. Apply mechanical restraints if necessary
d. Ask the patient directly “have you thought about harming yourself or others’’
Ans. (a) Maintain low level of stimulation; be alert for signs of increasing anxiety and agitation
Explanation: the schizophrenia patients for any suicidal attempts or to harm other persons in the ward. Create a safe environment for the patients, remove the sharp and harmful objects from the patient’s sight. Assess the nature and severity of hallucinations periodically.
2.A person who was seating purposelessly around the roads, untidy, on examination he is get talking to self and irritable sometimes. Which of the following disorder the patient may suffering from?
a. Major depressive disorder
b. Schizotypal personality disorder
c. Obsessive compulsive disorder
d. Chronic schizophrenia
Ans. (d) Chronic schizophrenia
Explanation: Chronic schizophrenia is defined as a severe mental disorder that impact how a person thinks, feels and behaves. Client with schizophrenia has lost touch with the reality. The symptoms of chronic schizophrenia include affective flattening, alogia, anhedonia, avolition and poor attention. These are the negative symptoms of schizophrenia having poorest prognosis.
3.On family assessment, patient’s family members show; critical, hostile and over involvement behavior toward patient. highlights the attitude that the family is showing:
a. Adequate support system
b. Expressed emotions
c. Care and concern toward patient
d. Judgmental attitude toward patient
Ans. (b) Expressed emotions
Explanation: Expressed emotion is the critical and emotionally over-involved attitude that the family members show toward the client. This negative family atmosphere will lead to relapse of the symptoms and rehospitalization and also had significant effect on the course of illness.
4.A patient with excited catatonia look like extreme excitement with rigidity, appears hyperthermic and dehydrated. The nurse documents this finding as:
a. Pernicious catatonia
c. Ecstasy
b. Catatonic stupor
d. Extremely excited catatonia
Ans. (a) Pernicious catatonia
Explanation: The clinical features of catatonic schizophrenia include loosening of associations, increase in speech production, increase in excitement, aggressiveness, restlessness, agitation, loosening of association. If the excitement becomes very severe and is accompanied by hyperthermia, dehydration, rigidity and can lead to death. It is called pernicious catatonia
5 Mr Suresh experiences delusion of grandiosity (in actuality), after some time Mr Mohan also experiences the same symptoms as Mr Suresh. Which type of disorder the two are experiencing?
a. Persistent delusional disorder
b. Capgras syndrome
c. Induced delusional disorder
d. Acute and transient psychotic disorder
Ans. (c) Induced delusional disorder
Explanation: A delusional disorder shared by two closely related persons in which only one person is having genuine psychotic disorder, the other person is induced and mutually share the same delusion. It is popularly called foliea’deux.
6 as per Sigmund Freud, loss of loved object and fixation in the oral sadistic phase of development leads to development of which disorder?
a. Mania
c. Depression
b. Schizophrenia
d. Phobia
Ans. (d) Depression
Explanation: as per Sigmund Freud, the oral stage is divided into two sub-phases. The first is oral incorporative phase (0 – 6 months). The oral incorporative behavior occurs first and involves the likeable stimulation of the mouth by other people and by food. Adults fixated at the oral incorporative stage are excessively concerned with oral activities such as smoking, drinking and kissing. The second oral behavior is oral sadistic phase which occurs during the painful, frustrating eruption of teeth. Persons fixated at this level are prone to excessive pessimism, hostility and aggressiveness.
7. A patient is taking selective serotonin reuptake inhibitor for the treatment of depression and say the nurse about the time lag for the maximum therapeutic affect to occur. The best response is:
a. Two Days
b. bone weeks
c. Four Week
d Three weeks
Ans. (d) Three weeks
Explanation: SSRI will slow down the reabsorption of serotonin which helps to regulate the mood and anxiety. The maximum therapeutic response of the drug SSRI will take up to three weeks. So the nurse should educate the client that it will take three weeks for the maximum therapeutic response.
8.A patient with mania states “ Rock, clock, lock, mock’’. The nurse documents this verbal expression as:
a. Flight of ideas
c. Clang Association
Ans. (c) Clang Association
Explanation: Clang association is the disorder of stream of thought. It refers to the sequence of thought stimulated by the sound of previous word rather than by the meaning. It is mostly based on the rhyming of the word without the proper meaning of the word.
9.A patient with suicidal ideation gives a written agreement to the health care team regarding not to harm himself and herself. contract is known as:
a. No harm contract
c. No injury contract
Ans. (d) No suicide contract
Explanation: No suicide contract is a written agreement between the patient and the nurse that the patient will not to act on any suicidal impulses. It is considered as one of the forms of management for suicide.
10.Although there is a risk of suicide in all patients with depression. The risk is high in which osituation?
a. Recovery from depression
c. Being married women
d. Female gender
Ans. (a) Recovery from depression
Explanation: The risk of suicide is more after the recovery from depression because the characteristic psychomotor retardation has improved and the patient has more energy to carry out the suicidal
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11. A patient with mood disorder is getting discharge from hospital. The nurse educates the patient and family members about inclusion of good bowel regimen and high fiber diet, and increase fluid intake in lifestyle as medicines may cause constipation. Which medicine the patient is on?
a. Lithium
b. Carbamazepine
c. Antidepressants
d. Atypical antipsychotics
Ans. (c) Antidepressants
Explanation: One of the side effects of anti-depressants is constipation. So in order to avoid constipation the nurse should educate the client to follow good bowel regimen and high-fiber diet. The other autonomic side effects are dry mouth, mydriasis, urinary retention, orthostatic hypotension, impotence, delirium and aggravation of glaucoma.
12.A nurse accepts free gifts from patient and develops personal or social relationship with the patient. Such act from the nurse will be called:
a. Resistance
b. Boundary violation
c. Transference
d. Counter- transference
Ans. (b) Boundary violation
Explanation: Boundary violation is defined as the nurse goes outside the boundaries of the therapeutic relationship and establishes a personal relationship with the patient, like she accepts gifts from the patient, hugs or having physical contact with patient, reveals personal information to the patient, etc.
13.While conducting interview of a patient and after the patient’s response, the nurse replies “I am Not sure what you mean. tell me about that again? Which technique of therapeutic communication the nurse is using?
a. Seeking clarification
b. Focusing
c. Reflection
d. Sharing perception.
Ans. (a) Seeking clarification
Explanation: Seeking clarification is a technique of therapeutic communication in which the nurse attempts to put vague ideas into words.
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