This is a REDOX reaction and can be balanced as such. (I must say that the way the question is phrased is "confusing", but I can show you what can be done to answer all it's parts & get the balanced equation). First, we will separate out the two half-reactions:
MnO4- →→ Mn2+ and RH3 → HOR=O (which I will condense to HRO2 for simplicity).
Now, we will balance each half-reaction by adding water molecules to the side needing O atoms, and H+ to the side needing H-atoms, and then add electrons (e-) to balance the charge.
MnO4- + 8 H+ + 5 e- → Mn2+ + 4 H2O
RH3 + 2 H2O → HRO2 + 6 H+ + 6 e-
Now, to make the gain of electrons (reduction) equal the loss (oxidation), we need to multiply the top half-reaction by 6 and the other by 5. This now gives us:
6 MnO4- + 48 H+ + 30 e- → 6 Mn2+ + 24 H2O
5 RH3 + 10 H2O → 5 HRO2 + 30 H+ + 30 e-
As you see, the gain & loss of electrons are equal (& can be "cancelled" out). Likewise, we can subtract out water molecules & H+ ions, just as you would with algebraic equations having like terms on both sides. This results in the following:
6 MnO4- + 18 H+ + 5 RH3 → 6 Mn2+ + 5 HRO2 + 14 H2O
The equation is now balanced in charge & mass.