ورقة عمل تمريض الصحة النفسية مع الإجابات

What is "sundowning" in a person with dementia?

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

A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?

1. AWord salad
2. BClang association
3. CFlight of ideas
4. DThought blocking

What is hoarding disorder?

1. ARepeated checking that all the doors and windows are locked before leaving the house each day
2. BFear of leaving the home because of crowds and public transport
3. CCollecting a few favourite objects as a hobby that the person enjoys
4. DPersistent difficulty throwing things away, so that clutter fills the living space

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey are the preferred long-term treatment for generalised anxiety disorder
2. BThey take 4–6 weeks to have any effect on anxiety, like antidepressants
3. CThey are safe to stop suddenly after many months of daily use
4. DThey give rapid relief but are generally used only short-term because of tolerance and dependence

Which preparation is usual before electroconvulsive therapy (ECT)?

1. ANo preparation, because the patient stays fully awake during ECT
2. BEating a large meal to prevent low blood sugar during the seizure
3. CFasting for several hours, because a brief general anaesthetic is given
4. DStopping all regular medicines for 2 weeks before the first treatment

A patient with limited English needs a mental health assessment. Who should interpret?

1. AA trained professional interpreter
2. BThe patient's 12-year-old son
3. CAnother patient on the ward who speaks the language
4. DThe nurse, using an online translation app on her phone for the whole assessment

يحتاج مريض يعاني سوء التغذية ومعتمد على الكحول إلى تسريب غلوكوز وريدي. أي أمر ينبغي أن تتوقعه الممرضة أولًا؟

1. Aالغلوكوز دون تعويض فيتاميني
2. Bمدرّ للبول
3. Cالثيامين قبل الغلوكوز أو معه
4. Dالغلوكوز أولًا، والثيامين بعد أسبوع

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

1. ATell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
2. BIgnore the threat, because she is only trying to manipulate staff
3. CAgree to assign Anna to her every day so that she stays safe
4. DTake the statement seriously, assess her risk and explain that nursing assignments are decided by the team