ورقة عمل تمريض الصحة النفسية مع الإجابات

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. AForming, storming and norming
2. BOrientation, working and termination
3. CDenial, anger and acceptance
4. DAlarm, resistance and exhaustion

The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?

1. APresenting reality
2. BPlacing the event in sequence
3. CGiving advice
4. DOffering self

أي آلية دفاعية تُعدّ صحية وناضجة؟

1. Aالتسامي: توجيه المشاعر العدوانية نحو رياضة
2. Bالإسقاط: لوم الآخرين على مشاعر المرء نفسه
3. Cالإنكار: رفض قبول تشخيص لأشهر
4. Dالانقسام: رؤية الناس إما جيدين كليًا أو سيئين كليًا

How does aripiprazole differ from most other antipsychotics?

1. AIt needs weekly white blood cell counts for safety
2. BIt has no effect on dopamine at all
3. CIt is a benzodiazepine with antipsychotic effects
4. DIt is a partial agonist at dopamine D₂ receptors

A patient with limited English needs a mental health assessment. Who should interpret?

1. AThe patient's 12-year-old son
2. BAnother patient on the ward who speaks the language
3. CA trained professional interpreter
4. DThe nurse, using an online translation app on her phone for the whole assessment

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey are the preferred long-term treatment for generalised anxiety disorder
2. BThey give rapid relief but are generally used only short-term because of tolerance and dependence
3. CThey are safe to stop suddenly after many months of daily use
4. DThey take 4–6 weeks to have any effect on anxiety, like antidepressants

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
2. BWait for the next routine score in four hours before deciding
3. CEncourage him to drink a large glass of wine to settle the symptoms
4. DReduce monitoring, because a higher score on this scale means that his withdrawal is improving

وقّعت مريضة تمتلك الأهلية على موافقة لدورة ECT. بعد جلستين تقول إنها تريد التوقف. ما الصحيح؟

1. Aتصبح موافقتها الموقّعة ملزمة بعد الجلسة الأولى، لذلك يجب الآن إكمال الدورة المتفق عليها
2. Bلا يمكنها التوقف إلا إذا وافقت أسرتها
3. Cيجب أن تكمل الدورة ما دامت قد وقّعت
4. Dيمكنها سحب موافقتها في أي وقت، ويجب احترام قرارها وإبلاغ الفريق به