ورقة عمل تمريض الصحة النفسية مع الإجابات

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

1. AAvoidant
2. BHistrionic
3. CSchizoid
4. DParanoid

Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?

1. ASevere constipation
2. BExcessive hunger
3. CHair loss
4. DSexual dysfunction

أي آثار جانبية هي مضادة للكولين (anticholinergic)؟

1. Aحمّى مرتفعة وطفح جلدي
2. Bانخفاض سكر الدم وفقدان الوزن
3. Cجفاف الفم والإمساك واحتباس البول وتشوش الرؤية
4. Dالإسهال والتعرق ودمع العينين وزيادة إفراز اللعاب

Which communication approach is best with a patient who has paranoid personality disorder?

1. ATalk about the patient with colleagues in whispers within his sight
2. BBe very warm and joke often to put the patient at ease
3. CAvoid explaining anything so that the patient does not become suspicious
4. DBe clear, honest and business-like, and explain the reasons for actions

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. AAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
2. BRespond respectfully but firmly, and keep the same expectations as for other patients
3. CTell him that he is not as important as he thinks he is
4. DArrange for only the senior doctor to see him from now on

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

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

A patient says, "My boss didn't say hello this morning, so she must think I'm useless." Which cognitive distortion is shown, and what is a helpful nursing response?

1. ACatastrophising; tell the patient that she will definitely not be fired
2. BMind reading; ask what other reasons there might be for the boss's behaviour
3. CPersonalisation; advise the patient to ask for a new manager
4. DAll-or-nothing thinking; agree that the boss is being unfair

An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?

1. ADelirium
2. BA neurocognitive disorder such as Alzheimer's disease
3. CNormal ageing with mild forgetfulness
4. DBrief psychotic disorder in later life