ورقة عمل تمريض الصحة النفسية مع الإجابات

What is a psychiatric advance directive (advance statement)?

1. AA court order that allows a patient to be detained in hospital
2. BA document in which a person states their treatment wishes for a time when they may lack capacity
3. CA contract in which the patient promises the team to take every prescribed medicine for life
4. DA note from the doctor that lists the patient's diagnoses

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. AIntellectualisation
2. BRegression
3. CReaction formation
4. DDisplacement

Which medicine is commonly used to treat antipsychotic-induced akathisia?

1. AHaloperidol
2. BPropranolol
3. CBupropion
4. DLithium

A patient at risk of suicide is admitted. Which environmental check is most important?

1. APlace the patient in a room at the end of the corridor for privacy
2. BMake sure the patient has a television in the room
3. CRemove items that could be used for self-harm, such as belts, cords and sharp objects
4. DLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Let's talk about something more cheerful."
2. B"Tell me more about what that feeling is like for you."
3. C"You shouldn't say things like that."
4. D"Everyone feels that way sometimes."

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. AEncouraging the patient to take part in activities
2. BCalm, supportive and warm communication
3. CRegular contact with the care team and other families
4. DFrequent criticism, hostility and emotional over-involvement

An 82-year-old started amitriptyline last week. Which finding is most concerning?

1. AA slightly dry mouth
2. BFeeling a little drowsy in the evening
3. CNew confusion and difficulty passing urine
4. DMild constipation that responds to extra fluids and fibre in the diet

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHis anger may be part of grief, displaced onto staff, so she should not take it personally
2. BHe has antisocial personality disorder that was not noticed before
3. CHe does not care about his wife's death and is using it as an excuse to be rude
4. DHe should be told that his behaviour is unacceptable and that visits will be stopped