ورقة عمل تمريض الصحة النفسية مع الإجابات

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. AEmotional reasoning
2. BMind reading
3. CCatastrophising
4. DPersonalisation

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. ALabile
2. BBlunted
3. CCongruent
4. DFlat

In substance use, what does "tolerance" mean?

1. AFeeling a strong craving to use the substance after a long period without it
2. BBeing able to stop using the substance at any time without symptoms
3. CNeeding more of the substance to get the same effect
4. DHaving withdrawal symptoms when the substance is stopped suddenly

Which US legal case is associated with the duty of mental health professionals to protect people who are threatened by a patient?

1. ARoe v Wade
2. BTarasoff v Regents of the University of California
3. CMiranda v Arizona
4. DBrown v Board of Education

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. ALip smacking, tongue thrusting and grimacing after years of treatment
2. BShuffling gait, mask-like face, rigidity and a resting tremor
3. CRestless pacing and an inability to sit still
4. DSudden muscle spasm of the neck with the eyes rolled upwards

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. ARemove his name from the ward list and give his bed to a new patient who is waiting for admission
2. BWait until the next day, because he will probably return on his own
3. CDo nothing, because patients are allowed to leave whenever they want
4. DStart the missing patient procedure at once, informing the team and, if required, the police

Which patient should the nurse check first?

1. AA patient given IM haloperidol and lorazepam 30 minutes ago who is hard to rouse, breathing 8/min
2. BA patient with depression who is asking for help to phone his mother
3. CA patient with OCD who is late for breakfast because of a long washing ritual in the bathroom
4. DA patient with schizophrenia who wants a cigarette break in the garden

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

1. ASudden-onset Alzheimer's disease
2. BA sign that she needs a higher dose of amitriptyline
3. CThe combined anticholinergic effects of her medicines
4. DThe normal effects of ageing