تمريض الصحة النفسية: حزمة المراجعة المكثفة

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
3. CThese are signs of an allergic reaction, so she should never take lithium again
4. DThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away

The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?

1. AFamily psychoeducation and help to communicate with less criticism
2. BAdvise the parents to stop all contact with their son
3. CTell the parents that they caused his illness
4. DDischarge him to live alone in a flat, without any support from his family or the team

تشير موثوقية التشخيص إلى:

1. Aما إذا كان أطباء مختلفون يصلون إلى التشخيص نفسه للمريض نفسه
2. Bما إذا كان التشخيص يتنبأ بدقة بمسار المرض ونتيجته
3. Cما إذا كان التشخيص يعتمد على فحوص طبية
4. Dما إذا كان المريض يقبل التشخيص

يقول رجل إن مغنية مشهورة تحبه سرًا وترسل إليه رسائل مشفرة عبر أغانيها، وفيما عدا ذلك تفكيره وسلوكه طبيعيان، ولا هلاوس لديه. أي تشخيص هو الأنسب؟

1. Aاضطراب الشخصية النرجسية
2. Bالفصام، النمط الزوراني
3. Cالاضطراب ثنائي القطب مع هوس
4. Dالاضطراب الوهامي، النمط الشبقي (erotomanic)

Which assessment is most important before giving a dose of IV morphine?

1. APupil size and hearing
2. BBlood glucose and temperature, checked before each dose
3. CRespiratory rate and level of sedation
4. DBowel sounds and urine colour

A patient receives high-dose IV aciclovir for herpes encephalitis. Which nursing action reduces the main risk to the kidneys?

1. AKeep the patient well hydrated and give the infusion slowly
2. BGive a loop diuretic before each dose
3. CRestrict oral and IV fluids to prevent brain swelling
4. DGive the infusion as a rapid push