ورقة عمل تمريض الصحة النفسية مع الإجابات

For which patients is clozapine mainly used?

1. APatients having their very first episode of mild psychosis
2. BPatients with mild anxiety who need a short-term sedative
3. CPatients with schizophrenia that has not responded to two other antipsychotics
4. DOlder patients with dementia who become agitated and restless in the evening

What is malingering?

1. AProducing symptoms on purpose to take on the role of a sick person, without any external gain
2. BPhysical symptoms caused by stress that the person does not produce on purpose
3. CExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors
4. DIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison

What is trichotillomania?

1. AHair loss caused by lithium treatment
2. BA fungal infection of the scalp that is common in people with OCD
3. CRepeatedly pulling out one's own hair, leading to hair loss
4. DA fear of hair, combs and hairdressers

Which preparation is usual before electroconvulsive therapy (ECT)?

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

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. AA relapse of her depression into a severe psychotic depression
2. BNeuroleptic malignant syndrome
3. CAntidepressant discontinuation syndrome
4. DSerotonin syndrome

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. ATreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
2. BScold her for breaking the ward rules and remove all her privileges
3. CGive her a lot of extra attention for the rest of the day
4. DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way

تخبر مريضة مستقرة على الليثيوم الممرضة بأنها بدأت تتناول الإيبوبروفين يوميًا لألم الظهر. ماذا ينبغي أن تفعل الممرضة؟

1. Aإبلاغ الواصف لأن الإيبوبروفين قد يرفع الليثيوم إلى مستويات سامة
2. Bإخبارها بأنه لا بأس لأن الإيبوبروفين يُباع دون وصفة وهو آمن
3. Cنصحها بمضاعفة جرعة الليثيوم
4. Dإخبارها بتناول مدرّ للبول أيضًا للتورم

A woman arrives in the emergency department after a sexual assault and has a cut on her head that is bleeding. What is the priority?

1. ACall the police and wait until they arrive before doing anything else, so that no evidence is lost by mistake
2. BAssess and treat her physical injuries, then offer forensic examination with her consent
3. CCollect forensic evidence before treating any injuries
4. DAsk her for a detailed account of the assault before any care