ورقة عمل تمريض الصحة النفسية مع الإجابات

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

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

Why are benzodiazepines used with caution in older adults?

1. AThey cause rapid weight gain and diabetes in all older adults
2. BThey raise blood pressure to dangerous levels after a single dose
3. CThey increase the risk of confusion, falls and fractures
4. DThey have no effect on the brain in older people

How does binge-eating disorder differ from bulimia nervosa?

1. AThere are no regular compensatory behaviours, such as vomiting or laxative use
2. BThe person never feels a loss of control while eating
3. CThe person always has a very low body weight and a fear of gaining weight
4. DBinges happen only once a year, so they are not a problem

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
2. BIt involves surgically implanting electrodes deep in the brain under anaesthetic
3. CIt needs a general anaesthetic and causes a seizure, like ECT
4. DIt is given as a daily tablet that contains tiny magnetic particles

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
2. B"Of course, as long as you don't tell the other patients."
3. C"That would be against the rules, so please stop asking about it."
4. D"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."

Which effects of methadone should the nurse monitor for?

1. AHair loss, weight loss and a painful red rash on the face
2. BRespiratory depression, sedation and a prolonged QT interval
3. CAgranulocytosis and a sore throat
4. DHypertensive crisis after eating aged cheese

A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?

1. AAgree with the colleague and give him a PRN anxiolytic
2. BTell him to lie down in his room, rest and stop worrying so much about his health
3. CAssess him physically, with vital signs and an ECG if indicated
4. DIgnore the complaint until he mentions it again

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

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