تمريض الصحة النفسية: حزمة المراجعة المكثفة

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. AStop the clozapine immediately, because this is a sign of agranulocytosis
2. BRecognise it as a common side effect, report it and suggest a towel on the pillow
3. CTell him that it means the clozapine dose is too low and needs to be increased
4. DExplain that it is a sign of an allergic reaction to the medicine

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. ATell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
2. BStop answering her calls, because the symptoms are imaginary
3. CAsk the doctor to order new tests every time she reports a symptom
4. DArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping

يشعر مريض بقلق شديد من إصابته بمرض خطير رغم قلة الأعراض الجسدية أو انعدامها وتكرار الفحوص الطبيعية. أي تشخيص هو الأنسب؟

1. Aاضطراب الأعراض الجسدية
2. Bاضطراب قلق المرض
3. Cالاضطراب المفتعل
4. Dاضطراب الأعراض العصبية الوظيفية

يصاب مدمن كحول مزمن بالتشوش ومشية غير ثابتة وحركات عين شاذة. أي نقص يجب علاجه على وجه السرعة؟

1. Aفيتامين D
2. Bالحديد
3. Cفيتامين C
4. Dالثيامين (فيتامين B1)

When does oseltamivir give the most benefit in influenza?

1. AWhen started within 48 hours of the first symptoms
2. BAt any time, as the timing makes no difference
3. COnly after a bacterial pneumonia has developed
4. DOnly after symptoms have lasted at least one week

A patient taking furosemide has a serum potassium of 2,9 mmol/L (mEq/L). Which ECG change is typical of this level?

1. AWidened QRS with a sine-wave pattern
2. BFlattened T waves and prominent U waves
3. CTall, peaked T waves
4. DA short QT interval with high R waves