ورقة عمل تمريض الصحة النفسية مع الإجابات

لماذا قد تستخدم الممرضة صمتًا قصيرًا أثناء محادثة مع مريض مكروب؟

1. Aلأنه يمنح المريض وقتًا للتفكير ومواصلة الحديث بوتيرته الخاصة
2. Bلأنه يعني أن بإمكان الممرضة التوقف لوقت قصير عن الإصغاء الفعّال والتخطيط للسؤال التالي
3. Cلأنه يُظهر للمريض أن الممرضة لا توافقه
4. Dلأنه يدل على أن المحادثة انتهت

ما أخطر خطر دموي للكلوزابين؟

1. Aفرط الحديد
2. Bارتفاع الصفائح
3. Cندرة المحببات (نقص العدلات الشديد)
4. Dكثرة الحمر

A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?

1. A"Everybody feels that way sometimes. You'll get over it."
2. B"Losing your wife must have been very hard for you."
3. C"Tell me what it has been like since she died."
4. D"It sounds very lonely without her."

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt needs a general anaesthetic and causes a seizure, like ECT
2. BIt is given as a daily tablet that contains tiny magnetic particles
3. CIt involves surgically implanting electrodes deep in the brain under anaesthetic
4. DIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
2. BScold her for breaking the ward rules and remove all her privileges
3. CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
4. DGive her a lot of extra attention for the rest of the day

What is the CIWA-Ar scale used for?

1. AMeasuring the risk of falls in hospital
2. BScreening for dementia in older adults
3. CMeasuring the depth of sedation in patients on a ventilator in intensive care
4. DRating the severity of alcohol withdrawal to guide treatment

Which intervention is most appropriate for an older patient with delirium?

1. AProvide orientation cues, make sure glasses and hearing aids are used, and involve the family
2. BKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
3. CMove the patient to a different room each day
4. DUse physical restraints at night to prevent falls

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 is reacting to the coming end of the relationship
3. CThe nurse has made an error and should cancel the discharge
4. DThe patient has developed a new psychotic illness