ورقة عمل تمريض الصحة النفسية مع الإجابات

في فحص الحالة العقلية، ما الفرق بين المزاج (mood) والوجدان (affect)؟

1. Aالمزاج يصف التفكير؛ والوجدان يصف الذاكرة
2. Bالمزاج والوجدان يعنيان الشيء نفسه تمامًا
3. Cالمزاج ما تلاحظه الممرضة على المريض؛ والوجدان ما يبلّغ المريض أنه يشعر به
4. Dالمزاج ما يبلّغ المريض أنه يشعر به؛ والوجدان الانفعال الذي تلاحظه الممرضة

يُستخدم الليثيوم أساسًا لعلاج:

1. Aالفصام كدواء خط أول
2. Bانسحاب الكحول
3. Cنوبات الهلع كدواء سريع المفعول
4. Dاضطراب ثنائي القطب

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. ASchizoid
2. BAvoidant
3. CHistrionic
4. DParanoid

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. ATry to talk the patient down by discussing his feelings in detail
2. BProvide a quiet, low-stimulation environment and keep staff and patient safe
3. CPut him in a busy area so that staff can watch him more easily
4. DEncourage him to walk around the ward and join in activities to help burn off the drug

بدأ شاب عمره 19 سنة للتو مضاد اكتئاب. ماذا ينبغي أن تراقب الممرضة بدقة خاصة في الأسابيع الأولى؟

1. Aأفكار أو سلوك انتحاري جديد أو متفاقم
2. Bتساقط الشعر
3. Cزيادة سريعة في الوزن
4. Dتغيّر لون العينين

What is the main advantage of a long-acting injectable antipsychotic?

1. AIt works faster than any oral antipsychotic in an acute crisis
2. BIt improves adherence because the patient does not need to take daily tablets
3. CIt cures schizophrenia after a fixed course of injections
4. DIt has no side effects, unlike the oral forms of the same antipsychotic drugs

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. ATell him to go home now and come back tomorrow morning when he feels calmer and safer
2. BStay with him and inform the team at once, so he can be urgently assessed under mental health law
3. CAsk him to promise that he will not jump, and then let him go home on his own
4. DLet him leave, because voluntary patients can always go when they want

A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?

1. AAvoid the patient and let other staff do all of his care
2. BIgnore the feeling, because feelings do not affect nursing care
3. CRecognise this as countertransference and discuss it in clinical supervision
4. DTell the patient that he reminds her of her father