ورقة عمل تمريض الصحة النفسية مع الإجابات

كيف يختلف الهذيان (delirium) عادةً عن الخرف؟

1. Aهما الحالة نفسها
2. Bيبدأ الهذيان فجأة ويتذبذب؛ ويتطور الخرف تدريجيًا على مدى أشهر أو سنوات
3. Cيبدأ الخرف فجأة دائمًا
4. Dيتطور الهذيان ببطء على مدى سنوات؛ ويبدأ الخرف فجأة ويتذبذب من ساعة إلى أخرى

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AWithin 3 months
2. BOnly after 1 year
3. CWithin 3 days
4. DOnly after 2 years

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AInvestigate the family alone at home before reporting
2. BWait until there is clear proof before telling anyone
3. CConfront the parents and ask them directly whether they hurt the child
4. DReport the concern according to child protection procedures

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. AAn ideal therapeutic relationship
2. BThat the patient needs to be transferred to another unit
3. CPossible boundary problems that she should discuss in supervision
4. DTransference by the patient towards the nurse, which is never the nurse's concern

Which setting is best for an initial assessment interview with a new patient?

1. AA quiet, private room with chairs at the same level and easy access to the door
2. BThe busy day room, so that the patient feels part of the ward
3. CA small office with the nurse sitting behind a high desk between herself and the door
4. DThe corridor, so that the interview can be done quickly

How does obsessive-compulsive personality disorder differ from obsessive-compulsive disorder?

1. APeople with it always feel that their behaviour is senseless and unwanted
2. BIt is a lasting pattern of perfectionism and control without true obsessions and compulsions
3. CIt always involves repeated hand washing and checking rituals
4. DIt starts suddenly in later life after a stressful event and goes away on its own within a few months

A 20-year-old recovering from a first episode of psychosis smokes cannabis every day. What should the nurse include in teaching?

1. ASmoking more cannabis will help him sleep and prevent relapse
2. BCannabis use increases the risk of psychotic symptoms returning
3. CCannabis has no effect on mental health
4. DCannabis protects against psychosis and can replace his medicine

A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?

1. AThat she needs an antipsychotic to control her behaviour
2. BThat she is trying to manipulate the staff
3. CA physical cause such as dental pain, an ear infection or constipation
4. DThat the behaviour is part of her disability and needs no assessment