تمريض الصحة النفسية: حزمة المراجعة المكثفة

Which effects of methadone should the nurse monitor for?

1. AHypertensive crisis after eating aged cheese
2. BHair loss, weight loss and a painful red rash on the face
3. CAgranulocytosis and a sore throat
4. DRespiratory depression, sedation and a prolonged QT interval

The daughter of a man with moderate dementia says she is exhausted, is not sleeping and feels guilty for getting angry with him. What is the most helpful nursing response?

1. AAdvise her to take on more responsibility for his care so that she feels less guilty
2. BSuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
3. CTell her that good daughters do not get angry with their parents
4. DAcknowledge her strain and discuss support such as respite care and carers' groups

التعرّض مع منع الاستجابة هو العلاج النفسي الرئيسي لـ:

1. Aالأرق
2. Bالوسواس القهري
3. Cالاضطراب ثنائي القطب
4. Dاضطراب فرط الحركة وتشتت الانتباه

أُدخل رجل يسمع كلمة «thud» إلى المستشفى، ثم تصرف بشكل طبيعي، فسجّل الطاقم تدوينه للملاحظات على أنه «ينخرط في سلوك الكتابة». ماذا يوضح هذا في دراسة روزنهان؟

1. Aأن تدوين الملاحظات عَرَض معروف للفصام، فأصاب الطاقم في تسجيله على هذا النحو
2. Bأنه متى أُلصق التشخيص مال السلوك الطبيعي إلى أن يُفسَّر علامةً على الاضطراب
3. Cأن المرضى الزائفين أصيبوا بأعراض حقيقية في المستشفى
4. Dأن الطاقم زوّر السجلات عمدًا

Before starting a TNF-alpha inhibitor such as adalimumab, which test is required?

1. AA glucose tolerance test
2. BAn echocardiogram in every patient
3. CScreening for latent tuberculosis
4. DA bone density scan

A patient who has had several courses of bleomycin develops a dry cough and worsening breathlessness. What should the nurse suspect?

1. APulmonary fibrosis from bleomycin
2. BA normal effect that will pass in a day
3. CAsthma caused by anxiety
4. DHeart failure from bleomycin