B.Sc Nursing 6th Semester Important Questions 2025 | MHN & Nursing Management Expected Long & Short Notes
B.Sc Nursing 6th Semester ke exam me agar aap Mental Health Nursing (MHN) aur Nursing Management ko structured tarike se padhte ho, to aap achhe marks le sakte ho. Neeche maine exam-oriented long answer questions, short notes, viva points aur writing strategy diya hai — jo university papers me baar-baar aata hai.
Subject 1 — Mental Health Nursing (MHN): Important Long Questions
Mental Health Nursing me long questions me theory ke saath nursing process, case management aur drug management ko acche se explain karna hota hai. Har question me assessment → planning → intervention → evaluation ko include karo.
1) Schizophrenia (Explain in detail)
Definition: Schizophrenia ek chronic psychiatric disorder hai jisme thought, perception, emotion aur behaviour disturbed hote hain.
Characteristics: Disorganized thought, impaired reality testing, social withdrawal, cognitive deficits.
Causes: Biological (genetic, neurotransmitter dopamine theory), psychological (stress-diathesis), social (family factors).
Types: Paranoid, Catatonic, Disorganized, Residual.
Symptoms: Positive symptoms (hallucinations, delusions), Negative symptoms (apathy, flat affect), Cognitive deficits.
Nursing management:
- Assessment: mental status, risk of harm, family history.
- Planning: reduce psychotic symptoms, ensure safety, improve social skills.
- Interventions: therapeutic communication, medication adherence support, relapse prevention education, family psychoeducation, structured routine.
- Evaluation: symptom reduction, improved social functioning.
Drug therapy: Antipsychotics (typical & atypical) — examples, major side effects (EPS, weight gain, metabolic syndrome) and nurse’s role in monitoring.
2) Depression (Discuss types, nursing assessment & management)
Explain classification (mild, moderate, severe, dysthymia), etiology (biopsychosocial), clinical features (sad mood, anhedonia, psychomotor changes), risk of suicide — include suicide assessment tool points (plan, intent, means).
Nursing interventions: Supportive communication, safety measures, administration of antidepressants, monitoring for serotonin syndrome, psychoeducation, cognitive behavioral strategies, family involvement.
3) Anxiety Disorders
Discuss GAD, Panic disorder, Phobias, OCD and PTSD. Mention signs, differential diagnosis, pharmacotherapy (benzodiazepines, SSRIs) and non-pharmacological interventions (relaxation, exposure therapy). Include simple nursing care plan (NCP) example for panic disorder — assessment, short-term goals, interventions.
4) Therapeutic Nurse–Patient Relationship
Explain phases: orientation (establish rapport), working (goal-directed interventions), termination (summarize, plan follow-up). Discuss communication techniques: open-ended questions, active listening, reflection, use of silence. Mention common barriers (stigma, cultural differences) and ways to overcome.
MHN — Important Short Notes (High scoring)
Short notes are frequent and score-efficient. Write crisp points and where possible a small table.
Defense Mechanisms (Short note)
List and briefly define 8–10 examples: denial, projection, regression, sublimation, rationalization, displacement, repression, reaction formation.
Electroconvulsive Therapy (ECT)
Indications (severe depression, resistant psychosis), procedure steps, pre-procedure nursing care (informed consent, NPO), post-procedure observation (vital signs, confusion, memory assessment), nurse role in safety.
Lithium Toxicity
Signs: nausea, vomiting, tremors, ataxia, confusion. Nursing actions: withhold medication, check serum lithium, IV fluids if indicated, notify physician.
Dementia vs Delirium (Table)
| Feature | Dementia | Delirium |
|---|---|---|
| Onset | Gradual | Acute |
| Course | Progressive | Fluctuating |
| Consciousness | Clear | Altered |
| Reversible | Usually not | Often reversible |
Suicide Precautions (Short points)
Assessment of risk, remove means, one-to-one observation, create safety plan, involve family, emergency referral when required.
Very Short / Viva Points
Neurosis vs Psychosis, Hallucination vs Delusion, Examples of antidepressants, Meaning of insight — prepare 1–2 line answers for viva.
Subject 2 — Nursing Management: Important Long Questions
Nursing Management focuses on administrative aspects — management principles, leadership styles, budgeting, records and reports. For long questions, use diagrams, headings and examples from hospital settings.
1) Management & POSDCORB (Explain with examples)
POSDCORB: Planning, Organizing, Staffing, Directing, Coordinating, Reporting, Budgeting. Explain each with a hospital example (e.g., planning for influenza outbreak, staffing for night shift, budgeting for new equipment).
Exam tip: Drawing a simple POSDCORB diagram gets extra marks and makes answer structured.
2) Leadership in Nursing
Compare styles: Autocratic, Democratic, Laissez-faire, Transformational. Discuss qualities of effective nurse leader (decision-making, communication, emotional intelligence). Give an example role-play: leading a code blue team — leader responsibilities and delegation.
3) Budgeting in Hospital
Explain types of budgets: zero-based, fixed, flexible. Steps: needs assessment, estimation, approval, execution, evaluation. Include sample items in nursing budget (consumables, equipment maintenance, staffing costs).
4) Records & Reports
Purpose: legal documentation, continuity of care, communication. Types: kardex, nursing notes, flow sheets, I/O chart, medication chart. Discuss nurse’s responsibility in accurate recording, documentation errors & prevention.
Important Short Notes — Nursing Management
- Time Management — Prioritization techniques (ABC, triage)
- Motivation — Maslow’s hierarchy (brief application in nursing)
- Job Description — Components and significance
- Centralization vs Decentralization — Pros & Cons in hospital setting
- Supervision — Types and nurse supervisor responsibilities
- Quality Assurance — Audit, peer review, patient satisfaction
- Inventory / Material Management — Stock card, reorder level, FIFO method
Viva Quick Answers — Management
| Question | Answer |
|---|---|
| Father of Scientific Management | F.W. Taylor |
| ICU Full Form | Intensive Care Unit |
| TPR | Temperature, Pulse, Respiration |
| Audit | Systematic review of quality |
Exam Writing Strategy — Score More in B.Sc Nursing Papers
Follow this structure for long answers:
- Intro (1–2 lines) — define and give context.
- Main body — use headings, bullets, diagrams and short paragraphs.
- Examples / Nursing application — clinical or administrative example.
- Conclusion — summarise key points and nursing implications.
Additional tips: Always write diagrams/tables where applicable, highlight keywords, and keep answers neat. For short notes, 6–10 crisp points are enough.
Model Long Answer (Sample) — Schizophrenia (Condensed for exam)
Introduction: Schizophrenia is a severe mental disorder characterized by distortions in thinking, perception, emotions and behavior.
Main features: Positive symptoms — delusions, hallucinations; Negative symptoms — social withdrawal, flat affect.
Nursing process: Assessment — check hallucination content, safety; Planning — reduce symptoms and ensure compliance; Interventions — antipsychotic administration, establishing routine, family teaching; Evaluation — symptom control and functional improvement.
Drug therapy & nurse’s role: Antipsychotics like risperidone; monitor EPS, metabolic profile; teach about adherence, side-effects reporting.
Conclusion: Early diagnosis, psychosocial interventions and family support improve prognosis.
Practical Revision Plan — 2 Weeks Before Exam
- Day 1–3: Revise all long answer topics for MHN (Schizophrenia, Depression, Anxiety).
- Day 4–6: Revise Nursing Management long topics (POSDCORB, Leadership, Budgeting).
- Day 7–9: Make short notes and flashcards for short answers / viva.
- Day 10–12: Solve previous year questions and mock papers; practice diagrams.
- Day 13–14: Rapid revision, sleep well, revise key points and definitions.
Commonly Asked University Questions (High Probability)
- Discuss Schizophrenia — classification, symptoms, and nursing management.
- Explain POSDCORB and its application in nursing administration.
- Describe the nursing care of a suicidal patient.
- Discuss budgeting methods used in hospital management.
- Explain principles of therapeutic nurse–patient relationship with examples.
Final Words — Confidence & Presentation
Paper me content ko present karna bhi important hai — neat handwriting, headings, diagrams and brief conclusion boost marks. Aapke clinical examples (from postings) genuine ho to mention karna — real experiences add credibility.
Agar aap chahte ho, main is notes ka printable PDF bana kar aur ek quick revision flashcard pack bhej dunga — comment karo “PDF MHN & Management” aur main file ready kar dunga.
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