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No.	Topics.	No.	Topics.
1.	Adult health nursing -II	2.	Adult Health Nursing 1
3.	Anatomy & Physialogy 1	4.	Anatomy & Physiology -II
5.	Antomy	6.	Applied Nutrition
7.	Behavioral Psychology	8.	Bio chemistry for nurses
9.	Clinical Practicum	10.	Community Health Nursing -I
11.	Community Health nursing -III	12.	Community Health Nursing-I
13.	Community Health-II	14.	computer skills
15.	Critical Care Nursing	16.	Cultural Health & Society
17.	Developmental Pcychology	18.	English -VI ( Academic Writing )
19.	English 1 Fundamental English	20.	English VII Professional Writing
21.	English-II Communication Skills	22.	english-iii-technical-presentation-skills
23.	English-IV	24.	English-V
25.	Epidemoilogy	26.	Fundamenatals Of Nursing -II
27.	Fundamental of nursing	28.	Health Assessement 1
29.	Health Assessment -II	30.	Introduction To Biostatistics
31.	Introduction to Nursing Theories	32.	Islamiat
33.	Leadership and management in Nursing	34.	Mathematics
35.	Microbiology	36.	Mrental Health Nursinig
37.	Nursing Ethics	38.	Nursing Research
39.	Pak Study	40.	Pathophysiology
41.	Pathophysiology-II	42.	Pediartic Health Nursing-II
43.	Pharmacology -II	44.	Pharmacology-I
45.	Teaching Learning Principles & Practice

Which of the following scenarios represents the most appropriate application of the principle of least restrictive environment in psychiatric nursing?

Sedating an agitated patient with seclusion.
Providing one-to-one observation for a suicidal patient.
Restraining a patient who is verbally aggressive.
Allowing a patient to roam freely in the unit despite exhibiting impulsivity.

A patient with depression reports feeling “flat” and states, “I don’t enjoy anything anymore, even things I used to love.” The nurse recognizes this symptom as:

Anhedonia.
Apathy.
Alexithymia.
Avolition.

A nurse is caring for a patient who is experiencing acute alcohol withdrawal and is exhibiting tremors, hallucinations, and increased vital signs. The priority nursing diagnosis should be:

Risk for ineffective coping related to substance abuse.
Imbalanced nutrition: less than body requirements.
Risk for injury related to seizures and delirium.
Social isolation related to withdrawal.

A patient undergoing Electroconvulsive Therapy (ECT) is at risk for short-term memory impairment. The nurse’s priority pre-procedure education should include:

Explaining the exact mechanism of action of ECT.
Reassuring the patient that memory loss is permanent and severe.
Informing the patient about the common side effects, including temporary memory loss.
Advising the patient to avoid discussing their memory concerns with family.

When assessing a patient’s judgment during the MSE, the nurse would typically ask questions related to:

The patient's ability to interpret proverbs.
The patient's plans for the future and decision-making abilities.
The patient's awareness of their illness.
The patient's mood and affect.

A patient admitted to the psychiatric unit refuses medication, citing religious beliefs. The nurse’s ethical responsibility is primarily guided by the principle of:

Beneficence.
Non-maleficence.
Autonomy.
Justice.

According to Hildegard Peplau’s interpersonal theory, the nurse-patient relationship progresses through distinct phases. In which phase does the nurse primarily help the patient gain independence and use new coping skills?

Orientation.
Identification.
Exploitation.
Resolution.

A patient receiving long-term antipsychotic medication develops involuntary repetitive movements of the tongue, lips, and jaw. The nurse should suspect:

Parkinsonism.
Acute dystonia.
Tardive dyskinesia.
Akathisia.

A nurse is facilitating a group therapy session for patients with anxiety disorders. A patient frequently interrupts others and dominates the conversation. The most appropriate nursing action is to:

Ignore the behavior to avoid singling out the patient.
Ask the patient to leave the group temporarily.
Gently redirect the patient and encourage others to speak.
Directly confront the patient about their disruptive behavior.

A nurse is discussing discharge plans with a patient recovering from a major depressive episode. The patient expresses concern about the stigma associated with mental illness. The nurse’s most effective response should focus on:

Providing statistics about the prevalence of mental illness.
Encouraging the patient to keep their diagnosis private.
Empowering the patient to educate others and advocate for themselves.
Advising the patient that stigma is a societal problem beyond their control.

A nurse is conducting a family therapy session. The therapist utilizing a psychodynamic approach would primarily focus on:

Current communication patterns within the family.
Unresolved past conflicts and their impact on present relationships.
Identifying cognitive distortions among family members.
Developing behavioral strategies to improve family dynamics.

In a therapeutic communication session, the patient states, “I feel so useless; my family would be better off without me.” The nurse responds, “Are you having thoughts of harming yourself?” This response exemplifies which therapeutic technique?

Clarification.
Validation.
Direct questioning.
Restating.

A patient with bipolar disorder in a manic phase is exhibiting pressured speech, flight of ideas, and irritability. The nurse’s priority intervention should be to:

Engage the patient in a lengthy conversation to reorient them.
Provide a calm, low-stimulus environment.
Challenge the patient's irrational thoughts.
Encourage group therapy participation for socialization.

A patient diagnosed with obsessive-compulsive disorder (OCD) spends hours performing rituals. The most appropriate initial nursing intervention is to:

Prevent the patient from performing any rituals.
Set strict limits on ritualistic behavior immediately.
Allow sufficient time for the rituals initially, then gradually limit them.
Challenge the patient's irrational thoughts directly.

A nurse is establishing a therapeutic relationship with a newly admitted anxious patient. Which of the following non-verbal behaviors by the nurse best conveys empathy and acceptance?

Maintaining direct, unbroken eye contact.
Leaning slightly forward with an open posture.
Sitting with arms crossed to appear attentive.
Frequently nodding to show understanding.

A patient with schizophrenia experiences command hallucinations telling them to harm others. The most appropriate nursing action to ensure patient and staff safety is to:

Encourage the patient to challenge the voices.
Document the hallucinations and inform the psychiatrist during rounds.
Maintain a safe distance and speak calmly to de-escalate.
Remove potential weapons and maintain a constant observable presence.

A patient with a history of recurrent major depressive disorder asks the nurse, “What’s the point of taking these pills? I’ve been depressed so many times before.” The nurse’s most therapeutic response emphasizes:

The medication's role in preventing future episodes and managing current symptoms.
The importance of adhering to the doctor's orders without question.
That feelings of hopelessness are normal with depression.
The fact that many patients find medication helpful over time.

During a mental status examination (MSE), the nurse asks the patient to interpret a proverb, “People who live in glass houses shouldn’t throw stones.” The patient responds, “Because the glass will break.” This response indicates a deficit in:

Abstract thinking.
Concrete thinking.
Insight.
Judgment.

A nurse is caring for a patient admitted with severe depression who expresses feelings of hopelessness and suicidal ideation. The most critical initial nursing intervention is to:

Encourage the patient to express their feelings openly.
Establish a no-suicide contract with the patient.
Implement continuous one-to-one observation.
Administer prescribed antidepressant medication immediately.

Category: BS Nursing

Which of the following scenarios represents the most appropriate application of the principle of least restrictive environment in psychiatric nursing?

A patient with depression reports feeling “flat” and states, “I don’t enjoy anything anymore, even things I used to love.” The nurse recognizes this symptom as:

A nurse is caring for a patient who is experiencing acute alcohol withdrawal and is exhibiting tremors, hallucinations, and increased vital signs. The priority nursing diagnosis should be:

A patient undergoing Electroconvulsive Therapy (ECT) is at risk for short-term memory impairment. The nurse’s priority pre-procedure education should include:

When assessing a patient’s judgment during the MSE, the nurse would typically ask questions related to:

A patient admitted to the psychiatric unit refuses medication, citing religious beliefs. The nurse’s ethical responsibility is primarily guided by the principle of:

According to Hildegard Peplau’s interpersonal theory, the nurse-patient relationship progresses through distinct phases. In which phase does the nurse primarily help the patient gain independence and use new coping skills?

A patient receiving long-term antipsychotic medication develops involuntary repetitive movements of the tongue, lips, and jaw. The nurse should suspect:

A nurse is facilitating a group therapy session for patients with anxiety disorders. A patient frequently interrupts others and dominates the conversation. The most appropriate nursing action is to:

A nurse is discussing discharge plans with a patient recovering from a major depressive episode. The patient expresses concern about the stigma associated with mental illness. The nurse’s most effective response should focus on:

A nurse is conducting a family therapy session. The therapist utilizing a psychodynamic approach would primarily focus on:

In a therapeutic communication session, the patient states, “I feel so useless; my family would be better off without me.” The nurse responds, “Are you having thoughts of harming yourself?” This response exemplifies which therapeutic technique?

A patient with bipolar disorder in a manic phase is exhibiting pressured speech, flight of ideas, and irritability. The nurse’s priority intervention should be to:

A patient diagnosed with obsessive-compulsive disorder (OCD) spends hours performing rituals. The most appropriate initial nursing intervention is to:

A nurse is establishing a therapeutic relationship with a newly admitted anxious patient. Which of the following non-verbal behaviors by the nurse best conveys empathy and acceptance?

A patient with schizophrenia experiences command hallucinations telling them to harm others. The most appropriate nursing action to ensure patient and staff safety is to:

A patient with a history of recurrent major depressive disorder asks the nurse, “What’s the point of taking these pills? I’ve been depressed so many times before.” The nurse’s most therapeutic response emphasizes:

During a mental status examination (MSE), the nurse asks the patient to interpret a proverb, “People who live in glass houses shouldn’t throw stones.” The patient responds, “Because the glass will break.” This response indicates a deficit in:

A nurse is caring for a patient admitted with severe depression who expresses feelings of hopelessness and suicidal ideation. The most critical initial nursing intervention is to:

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