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. AUndoing
2. BProjection
3. CSublimation
4. DDenial

In Freud's theory of personality, what is the role of the ego?

1. ATo seek immediate pleasure regardless of the consequences
2. BTo store all forgotten memories from childhood
3. CTo act as the moral conscience that creates guilt
4. DTo balance the demands of the id, the superego and reality

Which group of features is typical of dementia with Lewy bodies?

1. AMemory loss only, with no other symptoms or changes in alertness for many years
2. BSudden step-by-step decline after small strokes
3. CEarly personality change and loss of social inhibition
4. DFluctuating alertness, detailed visual hallucinations and parkinsonism

يصر مريض على أن العاملين يسمّمون طعامه. ما أفضل نهج أولي؟

1. Aالموافقة معه ليثق بك
2. Bالجدال منطقيًا حتى يعترف بأنه مخطئ
3. Cالإقرار بخوفه دون الجدال في المعتقد، والتركيز على مواضيع مبنية على الواقع
4. Dإخباره بحزم أنه لن يُقدَّم له أي طعام حتى يكف عن الاتهام

Which postpartum presentation is a psychiatric emergency?

1. ATearfulness and mood swings on the third day after birth
2. BConfusion, hallucinations and rapidly changing mood a few days after birth
3. CTiredness and worry about feeding the baby in the first week
4. DFeeling tearful at times but enjoying the baby and sleeping well when she can

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
2. B"I don't see anyone in the corner, but I know it seems real to you."
3. C"What does the man in the corner look like?"
4. D"The man will go away if you ignore him."

A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?

1. A"Smoking is only allowed in the garden, and that rule is the same for everyone."
2. B"I'll let you if you promise not to tell anyone else about it."
3. C"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."
4. D"Well, if the others let you, I suppose it's fine this once."

The daughter of a man with moderate dementia says she is exhausted, is not sleeping and feels guilty for getting angry with him. What is the most helpful nursing response?

1. ASuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
2. BTell her that good daughters do not get angry with their parents
3. CAcknowledge her strain and discuss support such as respite care and carers' groups
4. DAdvise her to take on more responsibility for his care so that she feels less guilty