ورقة عمل تمريض الصحة النفسية مع الإجابات

In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?

1. AUniversality
2. BCatharsis
3. CInstillation of hope
4. DAltruism

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. ALabile
2. BBlunted
3. CFlat
4. DCongruent

The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?

1. AOffering self
2. BPresenting reality
3. CPlacing the event in sequence
4. DGiving advice

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
2. BThese are signs of an allergic reaction, so she should never take lithium again
3. CThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
4. DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored

Which question is the best way to ask a patient about suicidal thoughts?

1. A"You wouldn't hurt yourself, would you?"
2. B"You're not thinking of doing anything silly, are you?"
3. C"Are you having thoughts of killing yourself?"
4. D"Things aren't that bad, are they?"

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. AShuffling gait, mask-like face, rigidity and a resting tremor
2. BSudden muscle spasm of the neck with the eyes rolled upwards
3. CRestless pacing and an inability to sit still
4. DLip smacking, tongue thrusting and grimacing after years of treatment

مريضة تتناول مثبّط MAOI تعود من حفلة بصداع شديد في مؤخرة الرأس وتيبس في الرقبة وخفقان. ماذا ينبغي أن تفعل الممرضة أولًا؟

1. Aقياس ضغط الدم وإبلاغ الواصف بشكل عاجل
2. Bنصحها بالاستلقاء والنوم حتى يزول
3. Cإعطاؤها جرعة MAOI التالية مبكرًا
4. Dإعطاؤها كوب قهوة قوية للصداع

وقّعت مريضة تمتلك الأهلية على موافقة لدورة ECT. بعد جلستين تقول إنها تريد التوقف. ما الصحيح؟

1. Aيجب أن تكمل الدورة ما دامت قد وقّعت
2. Bلا يمكنها التوقف إلا إذا وافقت أسرتها
3. Cيمكنها سحب موافقتها في أي وقت، ويجب احترام قرارها وإبلاغ الفريق به
4. Dتصبح موافقتها الموقّعة ملزمة بعد الجلسة الأولى، لذلك يجب الآن إكمال الدورة المتفق عليها