ورقة عمل تمريض الصحة النفسية مع الإجابات

يتكلم مريض بسرعة ويقفز من موضوع إلى آخر، وكل فكرة مرتبطة ارتباطًا فضفاضًا بالتي قبلها. ما اسم ذلك؟

1. Aفقر الكلام
2. Bانقطاع التفكير
3. Cتطاير الأفكار
4. Dالمداومة (perseveration)

What is "sundowning" in a person with dementia?

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

أي سمة محورية في فقدان الشهية العصابي؟

1. Aأكل أشياء غير غذائية
2. Bنوبات متكررة من الأكل بشراهة دون أي سلوك تعويضي، مع ضيق شديد من هذه النوبات
3. Cاهتمام طبيعي بالأكل الصحي
4. Dتقييد تناول الطعام مع خوف شديد من زيادة الوزن وصورة مشوهة للجسم

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"You're thinking about your mother. Tell me about her."
2. B"Your mother will visit you later this afternoon."
3. C"Please stop asking about her now and finish your lunch before it gets cold."
4. D"Your mother died 30 years ago. You know that."

أي دواء هو الأرجح أن يرفع مستوى الليثيوم لدى المريض؟

1. Aالأموكسيسيلين
2. Bالأوميبرازول
3. Cالإيبوبروفين
4. Dالباراسيتامول (أسيتامينوفين)

A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?

1. ACalmly say that the comments are not acceptable and redirect him
2. BLaugh at the comments so he does not feel rejected
3. CAvoid the patient for the rest of the shift
4. DRespond with similar comments to build rapport

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

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

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe patient no longer needs the sessions and should be discharged at once
2. BThe patient has developed a new psychotic illness
3. CThe patient is reacting to the coming end of the relationship
4. DThe nurse has made an error and should cancel the discharge