ورقة عمل تمريض الصحة النفسية مع الإجابات

أي سمة نموذجية للنهام العصابي (bulimia nervosa)؟

1. Aلا اهتمام بشكل الجسم
2. Bتقييد شديد لتناول الطعام دون أي نوبات شراهة أو سلوك تعويضي
3. Cوزن جسم منخفض جدًا في جميع الحالات
4. Dنوبات متكررة من الأكل بشراهة تعقبها سلوكيات تعويضية مثل التقيؤ

When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?

1. AThought blocking
2. BFlight of ideas
3. CTangential thinking
4. DConcrete thinking

What is a psychiatric advance directive (advance statement)?

1. AA contract in which the patient promises the team to take every prescribed medicine for life
2. BA court order that allows a patient to be detained in hospital
3. CA note from the doctor that lists the patient's diagnoses
4. DA document in which a person states their treatment wishes for a time when they may lack capacity

Which preparation is usual before electroconvulsive therapy (ECT)?

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

A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?

1. AStop the medicine if the dizziness happens more than once
2. BDrink a cup of strong coffee before getting out of bed each morning
3. CSit on the edge of the bed for a moment and then stand up slowly
4. DGet up quickly to get the blood flowing to the brain

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. ASerotonin syndrome
2. BLithium toxicity
3. CAgranulocytosis
4. DHypertensive crisis from tyramine

A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?

1. ANaltrexone causes broken bones to heal more slowly
2. BIt is not relevant, because naltrexone only affects the way the body responds to alcohol
3. CNaltrexone makes opioids much stronger, so smaller doses must be used
4. DNaltrexone blocks opioid analgesics, so pain relief needs to be planned differently

مريض مصاب باضطراب الوسواس القهري (OCD) يؤدي طقس غسل يدين طويلًا ويفوته الإفطار. ما أفضل نهج أولي؟

1. Aإغلاق الحمام بالمفتاح
2. Bإتاحة وقت للطقس، وتخطيط الجدول حوله، وتقييده تدريجيًا بالتعاون مع المريض
3. Cالإشارة إلى عدم جدوى الطقس والإصرار على أن يتوقف المريض عنه فورًا قبل الإفطار
4. Dإيقاف الطقس بالقوة