ورقة عمل تمريض الصحة النفسية مع الإجابات

Which side effects are typical of mirtazapine?

1. ASedation and increased appetite with weight gain
2. BHigh blood pressure and tremor
3. CInsomnia, agitation and weight loss
4. DPriapism and a dry cough

According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?

1. AAt least 2 days
2. BAt least 2 years
3. CAt least 6 months
4. DAt least 2 weeks

A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?

1. ASchizoid
2. BAvoidant
3. CAntisocial
4. DNarcissistic

Which activity is most suitable for a patient in an acute manic episode?

1. AA complicated board game such as chess with other patients
2. BA long group discussion in the day room
3. CA walk with a staff member
4. DA competitive team game of volleyball

A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?

1. A"That sounds hard to believe."
2. B"That's wonderful. When will you start?"
3. C"You know that isn't true at all."
4. D"Why do you want to buy the hospital?"

In family systems theory, what is meant by the "identified patient"?

1. AThe patient whose identity has been checked against a wristband before treatment
2. BThe family member who pays for the treatment
3. CThe family member who has the most serious physical illness
4. DThe member whose symptoms are seen as the family's problem

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. AAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
2. BLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
3. CDiagnose late-onset schizophrenia and start an antipsychotic immediately
4. DAssume it is normal ageing and take no action

A patient has had delusions and hallucinations for a year. For most of this time he has also had episodes of major depression, but for at least two weeks at a time his psychotic symptoms continued without any mood symptoms. Which diagnosis best fits this pattern?

1. ASchizoaffective disorder
2. BBrief psychotic disorder
3. CDelusional disorder
4. DMajor depression with psychotic features