تمريض الصحة النفسية: حزمة المراجعة المكثفة

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. AHide the medicine in his drink without telling him
2. BOffer the oral medicine first, before considering an injection
3. CGive an intramuscular injection at once without offering any choice
4. DPlace him in seclusion and then decide about medicine later

A nurse posts on social media about a "funny" patient on her ward, without giving his name. What is correct?

1. AIt breaches confidentiality, because he could still be identified
2. BIt is only a problem if the patient finds the post himself
3. CIt is acceptable if the post is set to "friends only"
4. DIt is acceptable because his name was not used

أي مما يلي عَرَض إيجابي للفصام؟

1. Aفقر الكلام
2. Bالأوهام
3. Cتسطّح الوجدان
4. Dالانسحاب الاجتماعي

يبقى مريض بالفصام ساكنًا في وضعية غريبة لساعات ويقاوم محاولات تحريكه. أي مجموعة أعراض يصفها هذا؟

1. Aإذاعة الأفكار
2. Bخلل الحركة المتأخر
3. Cالجامود (الكاتاتونيا)
4. Dفقر الكلام

A patient with Addison's disease on hydrocortisone develops a fever with flu. What is the usual advice?

1. AHalve the hydrocortisone to reduce side effects
2. BIncrease the dose as instructed (sick-day rules) and seek help if vomiting
3. CMake no change, as illness does not affect cortisol needs
4. DStop the hydrocortisone until the fever settles, to let the body recover

A patient taking carbimazole or methimazole (thiamazole) for Graves' disease reports a sore throat and fever. What should the nurse suspect and do?

1. AAgranulocytosis; stop the drug and check the white cell count urgently
2. BThyroid storm; double the next dose of the drug
3. CHypothyroidism; add levothyroxine at once
4. DA common cold; advise rest and fluids and continue the drug as usual