تمريض الصحة النفسية: حزمة المراجعة المكثفة

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. ASupervise the meal and observe the patient for an agreed period afterwards
2. BAllow the patient to choose to skip meals if she says she feels full or unwell
3. CTalk with the patient at length about calories during the meal
4. DLet the patient eat alone in her room for privacy

A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?

1. AGet more staff to hold him so the bath can be finished quickly
2. BAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative
3. CSkip bathing for the rest of his stay
4. DStop, try again later or in a different way, and explain each step calmly

يُحتفظ بالكلوزابين عادةً للفصام المقاوم للعلاج لأنه:

1. Aهو أقل مضادات الذهان المتاحة فعالية، لذا يُلجأ إليه كملاذ أخير
2. Bلا يمكن تناوله أقراصًا
3. Cقد يسبب ندرة المحببات، فتلزم مراقبة الدم بانتظام
4. Dلا يعمل إلا على الأعراض السلبية

في إعادة الصياغة اللاحقة للعجز المتعلَّم (أبرامسون وسيليغمان وتيسديل)، يكون الاكتئاب أرجح حين يعزو الناس الأحداث السلبية إلى أسباب:

1. Aخارجية وثابتة ومحددة
2. Bداخلية وثابتة وشاملة
3. Cداخلية وغير ثابتة ومحددة
4. Dخارجية وغير ثابتة ومحددة

Which early signs suggest systemic toxicity from a local anaesthetic?

1. APinpoint pupils and slow, shallow breathing
2. BHeavy sweating, salivation and diarrhoea
3. CNumbness around the mouth, metallic taste and tinnitus
4. DItchy rash and swelling only at the injection site

A patient taking sertraline starts St John's wort for low mood. What is the main concern?

1. AA hypertensive crisis from tyramine
2. BSerotonin syndrome from combined serotonergic effects
3. CBleeding from vitamin K deficiency
4. DSevere low blood pressure from blocked alpha receptors