ورقة عمل تمريض الصحة النفسية مع الإجابات

Which group of features is typical of dementia with Lewy bodies?

1. AEarly personality change and loss of social inhibition
2. BFluctuating alertness, detailed visual hallucinations and parkinsonism
3. CSudden step-by-step decline after small strokes
4. DMemory loss only, with no other symptoms or changes in alertness for many years

أي آثار جانبية هي مضادة للكولين (anticholinergic)؟

1. Aانخفاض سكر الدم وفقدان الوزن
2. Bجفاف الفم والإمساك واحتباس البول وتشوش الرؤية
3. Cالإسهال والتعرق ودمع العينين وزيادة إفراز اللعاب
4. Dحمّى مرتفعة وطفح جلدي

What is "sundowning" in a person with dementia?

1. AImproved memory and calmness as darkness falls each evening
2. BSensitivity of the skin to sunlight caused by dementia medicines
3. CIncreased confusion and agitation in the late afternoon and evening
4. DSleeping all day and staying awake all night from the start of the illness

A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?

1. ANihilistic
2. BPersecutory
3. CGrandiose
4. DErotomanic

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. AAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
2. BRespond respectfully but firmly, and keep the same expectations as for other patients
3. CTell him that he is not as important as he thinks he is
4. DArrange for only the senior doctor to see him from now on

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

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

A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?

1. AHis usual methadone should continue, and additional analgesia is usually needed for acute pain
2. BHis methadone should be stopped while he is in hospital
3. CHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
4. DHe should get no opioids at all, because of his history

A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?

1. A"If I get a sore throat or fever, I'll tell someone straight away."
2. B"I'll need regular blood tests for as long as I take clozapine."
3. C"The tests are done because clozapine can lower my white cells."
4. D"After a few months I can stop having blood tests."