ورقة عمل تمريض الصحة النفسية مع الإجابات

In obsessive-compulsive disorder, what is an obsession?

1. AA strong interest in a hobby that the person enjoys very much
2. BA repeated action done to reduce anxiety, such as checking a lock
3. CA false belief that is held firmly despite clear evidence that it is untrue
4. DA recurrent, unwanted thought, urge or image that causes anxiety

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AWait until there is clear proof before telling anyone
2. BInvestigate the family alone at home before reporting
3. CReport the concern according to child protection procedures
4. DConfront the parents and ask them directly whether they hurt the child

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 note from the doctor that lists the patient's diagnoses
3. CA court order that allows a patient to be detained in hospital
4. DA document in which a person states their treatment wishes for a time when they may lack capacity

How does aripiprazole differ from most other antipsychotics?

1. AIt has no effect on dopamine at all
2. BIt is a benzodiazepine with antipsychotic effects
3. CIt needs weekly white blood cell counts for safety
4. DIt is a partial agonist at dopamine D₂ receptors

According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?

1. AAt least 1 month, with no further time required
2. BAt least 2 weeks of continuous symptoms
3. CAt least 2 years, including 6 months of active symptoms
4. DAt least 6 months, including at least 1 month of active symptoms

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. BHypertensive crisis from tyramine
3. CAgranulocytosis
4. DLithium toxicity

تطلب مريضة من الممرضة أن تعدها بألا تخبر أحدًا بأنها تخطط لقتل نفسها. ما أفضل استجابة؟

1. Aتغيير الموضوع
2. Bالوعد بالاحتفاظ بالسر لتواصل الحديث وتثق بك، وعدم تسجيله في ملاحظاتها أو إخبار الفريق
3. Cإخبارها بأنك ستفكرين في الأمر
4. Dالشرح بلطف أنك لا تستطيعين الاحتفاظ بهذا السر لأن سلامتها مهمة، وأنك بحاجة إلى مشاركته مع الفريق

During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?

1. AAsk the patients to write their complaints down and then do nothing
2. BEnd the meeting so the complaint is not discussed further
3. CDiscuss the problem openly and involve patients in finding a solution
4. DTell the patients that the rules cannot be changed