ورقة عمل تمريض الصحة النفسية مع الإجابات

When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?

1. AConcrete thinking
2. BThought blocking
3. CFlight of ideas
4. DTangential thinking

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. BReport the concern according to child protection procedures
3. CConfront the parents and ask them directly whether they hurt the child
4. DWait until there is clear proof before telling anyone

According to DSM-5, generalised anxiety disorder involves excessive worry on more days than not for at least how long?

1. A1 month
2. B6 months
3. C2 years
4. D2 weeks

لماذا لا يُوصى بـ"عقود عدم الانتحار" كإجراء للسلامة؟

1. Aلأنها غير قانونية في كل مكان
2. Bلا دليل على أنها تمنع الانتحار، وقد تعطي طمأنة كاذبة
3. Cلأنها طويلة ومعقدة جدًا فلا يقرأها معظم المرضى، فيوقّعها قلة منهم
4. Dلأنها للأطفال فقط

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. ALithium toxicity
2. BSerotonin syndrome
3. CHypertensive crisis from tyramine
4. DAgranulocytosis

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. ANeuroleptic malignant syndrome
2. BAntidepressant discontinuation syndrome
3. CA relapse of her depression into a severe psychotic depression
4. DSerotonin syndrome

A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?

1. AHold your breath for as long as possible while lying completely still on the floor
2. BTense each muscle group in turn for a few seconds, then let go and notice the difference
3. CDo the exercise only during a panic attack, never at other times
4. DTense all your muscles at once and keep them tight for 10 minutes

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