ورقة عمل تمريض الصحة النفسية مع الإجابات

Which personality disorders belong to Cluster A, the "odd or eccentric" cluster?

1. ABorderline, avoidant and paranoid
2. BAntisocial, borderline, histrionic and narcissistic
3. CParanoid, schizoid and schizotypal
4. DAvoidant, dependent and obsessive-compulsive

What is the CAGE questionnaire used for?

1. AAssessing cognitive function in older adults
2. BRating the severity of a patient's depression
3. CMeasuring the severity of opioid withdrawal
4. DScreening for problem drinking

What is systematic desensitisation?

1. AGradual exposure to a feared situation, step by step, while using relaxation
2. BTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
3. CA medicine that reduces anxiety within minutes of being taken
4. DSudden and prolonged exposure to the most feared situation at once

How does aripiprazole differ from most other antipsychotics?

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

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
2. BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
3. CIt causes weight gain, so offer fewer snacks during the day
4. DGive it just before bedtime so that it works overnight

Which postpartum presentation is a psychiatric emergency?

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

A 15-year-old tells the school nurse she has been cutting herself and asks her not to tell her parents. What is the best response?

1. APhone her parents at once without telling her
2. BExplain that safety information must be shared, and involve her in how this is done
3. CPromise never to tell anyone about it, so that she keeps trusting the school nurse
4. DTell her that cutting is a phase that many teenagers go through and it needs no help

A patient says, "I'm such a failure. My wife left me and I lost my job." The nurse answers, "Don't worry, things will get better soon." What is wrong with this response?

1. AIt uses the technique of presenting reality wrongly
2. BIt is too direct and confronting
3. CIt is false reassurance that dismisses the patient's feelings
4. DIt explores the problem too deeply too early