ورقة عمل تمريض الصحة النفسية مع الإجابات

In behaviour therapy, what is positive reinforcement?

1. AIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
2. BRemoving a reward so that a behaviour becomes less likely
3. CAdding an unpleasant consequence so that a behaviour stops
4. DAdding a reward after a behaviour so that the behaviour becomes more likely

What is anhedonia?

1. ARapid, pressured speech that is hard to interrupt
2. BA belief that one's body is diseased or rotting
3. CAn inability to fall asleep at night despite feeling very tired during the day
4. DLoss of interest or pleasure in activities that were enjoyed before

Which side effects are typical of mirtazapine?

1. AHigh blood pressure and tremor
2. BInsomnia, agitation and weight loss
3. CSedation and increased appetite with weight gain
4. DPriapism and a dry cough

Which side effects are most common with quetiapine?

1. AInsomnia and severe weight loss
2. BHigh prolactin with breast enlargement in almost every patient
3. CSedation, dizziness when standing and weight gain
4. DA cough and swollen ankles

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I'll avoid aged cheese and cured meats."
2. B"A sudden severe headache is a reason to get help straight away."
3. C"I'll tell any new doctor or dentist that I take an MAOI."
4. D"I can take any cold and flu remedy from the pharmacy."

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. AAgranulocytosis
2. BSerotonin syndrome
3. CHyperthyroidism
4. DHypothyroidism

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHe should be told that his behaviour is unacceptable and that visits will be stopped
2. BHis anger may be part of grief, displaced onto staff, so she should not take it personally
3. CHe does not care about his wife's death and is using it as an excuse to be rude
4. DHe has antisocial personality disorder that was not noticed before

A patient who had been abstinent from alcohol for 6 months has started drinking again. He says, "I've failed completely. There's no point in trying." What is the most helpful response?

1. A"You obviously weren't serious about stopping."
2. B"Yes, I'm afraid you've wasted all of your hard work over the last six months."
3. C"Relapse is common in recovery. Let's look at what led to it and what you learned."
4. D"You'll have to start a completely new treatment from the beginning."