ورقة عمل تمريض الصحة النفسية مع الإجابات

After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?

1. ASublimation
2. BUndoing
3. CDenial
4. DProjection

A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?

1. AGiving recognition
2. BReflecting feelings
3. CSeeking clarification
4. DOffering self

What is malingering?

1. AIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
2. BProducing symptoms on purpose to take on the role of a sick person, without any external gain
3. CPhysical symptoms caused by stress that the person does not produce on purpose
4. DExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors

A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?

1. AThe patient will let staff make all her decisions while in hospital
2. BThe patient will avoid contact with others until she feels more confident
3. CThe patient will make small everyday decisions on her own
4. DThe patient will move in with a relative who can make decisions for her

A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?

1. ASomatic
2. BGrandiose
3. CErotomanic
4. DNihilistic

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AGive it just before bedtime so that it works overnight
2. BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
3. CIt causes weight gain, so offer fewer snacks during the day
4. DGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping

بعد ثلاثة أسابيع من بدء الكلوزابين، لدى مريض ألم في الصدر ومعدل نبض أثناء الراحة 125/min وحمّى. ماذا ينبغي أن تشتبه الممرضة؟

1. Aإمساك
2. Bنوبة قلق
3. Cآثار جانبية طبيعية ستزول
4. Dالتهاب عضلة القلب، ويحتاج إلى مراجعة طبية عاجلة

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AReport the finding, review his eating pattern and suggest giving the medicine after breakfast
2. BAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
3. CStop the medicine immediately without telling the prescriber
4. DIgnore it, because weight changes in children are always normal