ورقة عمل تمريض الصحة النفسية مع الإجابات

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

1. ADenial, anger and acceptance
2. BAlarm, resistance and exhaustion
3. COrientation, working and termination
4. DForming, storming and norming

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. ARationalisation
2. BIdentification
3. CProjection
4. DSuppression

A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?

1. ASeeking clarification
2. BGiving recognition
3. CReflecting feelings
4. DOffering self

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. AStay in bed and watch television or use a phone until sleep finally comes
2. BIf still awake after about 20 minutes, get up, do something calm and return when sleepy
3. CLook at the clock often to check how much sleep is being lost
4. DDo vigorous exercise in the bedroom until tired enough to fall asleep straight away

Which communication approach is best for a patient with moderate dementia?

1. AUse short, simple sentences and give one instruction at a time
2. BUse abstract language and long explanations so the patient feels respected
3. CSpeak loudly and quickly so that the patient stays alert
4. DAsk several questions together to save time

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. ALamotrigine will lower the valproate level until it has no effect
2. BValproate raises lamotrigine levels, which increases the risk of a serious rash
3. CValproate makes lamotrigine work faster, so the dose must be increased quickly
4. DThe two drugs together cause severe hair growth

تخبر مريضة مستقرة على الليثيوم الممرضة بأنها بدأت تتناول الإيبوبروفين يوميًا لألم الظهر. ماذا ينبغي أن تفعل الممرضة؟

1. Aإخبارها بأنه لا بأس لأن الإيبوبروفين يُباع دون وصفة وهو آمن
2. Bإخبارها بتناول مدرّ للبول أيضًا للتورم
3. Cنصحها بمضاعفة جرعة الليثيوم
4. Dإبلاغ الواصف لأن الإيبوبروفين قد يرفع الليثيوم إلى مستويات سامة

A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?

1. ATell him firmly that he will lose his ward privileges unless he gets up and showers at once
2. BAgree a simple daily routine with small, achievable activities and give positive feedback
3. CWait until he asks to join activities before involving him
4. DLet him stay in bed, because negative symptoms cannot change