ورقة عمل تمريض الصحة النفسية مع الإجابات

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. AGiving advice
2. BRestating
3. CSummarising
4. DVoicing doubt

The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?

1. AOrientation
2. BJudgement
3. CRecent memory
4. DPerception

In Freud's theory of personality, what is the role of the ego?

1. ATo act as the moral conscience that creates guilt
2. BTo balance the demands of the id, the superego and reality
3. CTo seek immediate pleasure regardless of the consequences
4. DTo store all forgotten memories from childhood

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

1. ASomatic
2. BNihilistic
3. CErotomanic
4. DGrandiose

A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?

1. AOnly after 7 days without alcohol
2. BAbout 6–24 hours after the last drink
3. CWithin 5 minutes of the last drink
4. DAbout 2–3 weeks after the last drink

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey take 4–6 weeks to have any effect on anxiety, like antidepressants
2. BThey are the preferred long-term treatment for generalised anxiety disorder
3. CThey are safe to stop suddenly after many months of daily use
4. DThey give rapid relief but are generally used only short-term because of tolerance and dependence

A woman arrives in the emergency department after a sexual assault and has a cut on her head that is bleeding. What is the priority?

1. AAsk her for a detailed account of the assault before any care
2. BAssess and treat her physical injuries, then offer forensic examination with her consent
3. CCall the police and wait until they arrive before doing anything else, so that no evidence is lost by mistake
4. DCollect forensic evidence before treating any injuries

A patient with depression and a family history of bipolar disorder started an antidepressant 2 weeks ago. He now sleeps 3 hours a night, talks rapidly and is spending large amounts of money. What should the nurse suspect?

1. AA switch into mania or hypomania triggered by the antidepressant
2. BThe expected improvement in mood from the antidepressant
3. CNormal relief and extra energy now that his depression has finally lifted after the treatment
4. DSerotonin syndrome caused by a high dose