تمريض الصحة النفسية: حزمة المراجعة المكثفة

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. ADo vigorous exercise in the bedroom until tired enough to fall asleep straight away
2. BIf still awake after about 20 minutes, get up, do something calm and return when sleepy
3. CLook at the clock often to check how much sleep is being lost
4. DStay in bed and watch television or use a phone until sleep finally comes

A new nurse asks why the therapeutic relationship is different from a social relationship. Which statement is correct?

1. AIt has no fixed end, and it can continue as a friendship after discharge if both the nurse and the patient want it to
2. BIt is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
3. CBoth people share their needs equally, as in any friendship
4. DThe patient is responsible for setting the boundaries of the relationship

يقول عميل: «رسبت في اختبار واحد، إذن سأرسب في كل شيء». أي تشوّه معرفي هذا؟

1. Aالاستدلال الانفعالي
2. Bالتعميم المفرط
3. Cقراءة الأفكار
4. Dالشخصنة

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. Aالاضطراب الوهامي، النمط الشبقي (erotomanic)
2. Bاضطراب الشخصية النرجسية
3. Cالاضطراب ثنائي القطب مع هوس
4. Dالفصام، النمط الزوراني

Which blood test is commonly used to monitor a continuous infusion of unfractionated heparin?

1. AINR (international normalised ratio, prothrombin time)
2. BSerum potassium
3. CHaemoglobin A1c
4. DActivated partial thromboplastin time (aPTT)

A patient on digoxin is started on amiodarone. What change should the nurse expect?

1. ADigoxin levels fall sharply, so the digoxin dose is doubled
2. BAmiodarone levels fall to zero
3. CNo interaction is expected
4. DDigoxin levels rise, so the digoxin dose is often reduced