ورقة عمل تمريض الصحة النفسية مع الإجابات

شخص لديه مشاعر عدائية قوية تجاه جاره يبالغ في ودّه وكرمه معه. أي آلية دفاعية هذه؟

1. Aالإنكار
2. Bتكوين رد الفعل
3. Cالتعويض
4. Dالإزاحة

ماذا يعني مبدأ "البديل الأقل تقييدًا" في رعاية الصحة النفسية؟

1. Aيجب إدخال جميع المرضى إلى جناح مغلق
2. Bينبغي أن يكون التقييد الجسدي أول إجراء يُستخدم
3. Cلا يجوز تقييد المرضى بأي شكل أبدًا، حتى عند وجود خطر جسيم عليهم أو على الآخرين
4. Dينبغي أن تقيّد الرعاية حرية المريض بأقل قدر ممكن مع الحفاظ على سلامته وسلامة الآخرين

أي علامة نموذجية لنوبة الهوس؟

1. Aبطء الكلام والحركة
2. Bالنوم 14 ساعة يوميًا
3. Cمشاعر انعدام القيمة
4. Dانخفاض الحاجة إلى النوم مع طاقة عالية

A patient who started a high-dose corticosteroid (prednisolone or prednisone) a week ago is now euphoric, sleeping little and talking very fast. What should the nurse suspect?

1. ALithium toxicity
2. BAlcohol withdrawal
3. CA normal reaction to feeling better from the treatment
4. DMood changes caused by the corticosteroid

What is the CIWA-Ar scale used for?

1. ARating the severity of alcohol withdrawal to guide treatment
2. BMeasuring the depth of sedation in patients on a ventilator in intensive care
3. CMeasuring the risk of falls in hospital
4. DScreening for dementia in older adults

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. AAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
2. BTell him that he is not as important as he thinks he is
3. CArrange for only the senior doctor to see him from now on
4. DRespond respectfully but firmly, and keep the same expectations as for other patients

The parent of a child recently diagnosed with autism asks, "Did his vaccines cause this?" What is the most accurate response?

1. A"Large studies have found no link between vaccines and autism."
2. B"Yes, the MMR vaccine is a proven cause of autism."
3. C"We don't know, so it is best to stop all of his other vaccines."
4. D"Autism is caused by cold and distant parenting styles in early childhood."

A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?

1. AThiamine quickly lowers the blood alcohol level
2. BWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
3. CThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
4. DThiamine prevents all alcohol withdrawal seizures