ورقة عمل تمريض الصحة النفسية مع الإجابات

How is lithium mainly removed from the body?

1. ABy the liver, in the bile
2. BBy the kidneys, in the urine
3. CThrough the lungs, in the breath
4. DThrough the skin, in sweat only

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. AWaxy flexibility
2. BEchopraxia
3. CTardive dyskinesia
4. DAkathisia

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

1. AClang association
2. BWord salad
3. CFlight of ideas
4. DThought blocking

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. ALeave him alone in a dark room so that he can sleep it off
2. BArgue with him that what he sees is not real until he accepts it
3. CStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
4. DShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off

Which communication approach is best with a patient who has paranoid personality disorder?

1. ABe clear, honest and business-like, and explain the reasons for actions
2. BTalk about the patient with colleagues in whispers within his sight
3. CAvoid explaining anything so that the patient does not become suspicious
4. DBe very warm and joke often to put the patient at ease

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. AHyperthyroidism
2. BHypothyroidism
3. CSerotonin syndrome
4. DAgranulocytosis

A patient with depression answers every question with one or two words and looks at the floor. Which approach is most helpful?

1. AEnd the conversation quickly, because the patient clearly does not want to talk
2. BAsk several open questions in quick succession to keep the conversation going
3. CEncourage him to cheer up and think about the good things in his life
4. DUse simple statements, allow extra time for answers and stay with the patient even in silence

بعد خمسة أيام من بدء الهالوبيريدول، لدى مريض حرارة 40 °C وأطراف متصلبة وتشوش وضغط دم متذبذب وتعرق. ماذا ينبغي أن تفعل الممرضة أولًا؟

1. Aإعطاء الباراسيتامول للحمّى وإعادة قياس العلامات بعد 4 ساعات
2. Bحجب مضاد الذهان وطلب مساعدة طبية عاجلة
3. Cإعطاء جرعة أخرى من الهالوبيريدول لتهدئته
4. Dتشجيعه على ممارسة الرياضة لتخفيف التيبس