ورقة عمل تمريض الصحة النفسية مع الإجابات

لماذا قد تستخدم الممرضة صمتًا قصيرًا أثناء محادثة مع مريض مكروب؟

1. Aلأنه يمنح المريض وقتًا للتفكير ومواصلة الحديث بوتيرته الخاصة
2. Bلأنه يعني أن بإمكان الممرضة التوقف لوقت قصير عن الإصغاء الفعّال والتخطيط للسؤال التالي
3. Cلأنه يدل على أن المحادثة انتهت
4. Dلأنه يُظهر للمريض أن الممرضة لا توافقه

مريض شُخّصت إصابته بالسرطان للتو يقول: "لا بد أن نتائج الفحص خاطئة؛ أشعر أنني بخير". أي آلية دفاعية هذه؟

1. Aالإزاحة
2. Bالإنكار
3. Cالتسامي
4. Dالإسقاط

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. ACatastrophising
2. BMind reading
3. CPersonalisation
4. DEmotional reasoning

What should a patient starting zolpidem for insomnia be taught to report?

1. AFeeling sleepy about 30 minutes after taking it at bedtime
2. BFeeling slightly more rested and alert the next morning than before starting the medicine
3. CDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
4. DSleeping through the night without waking up

Which side effects are most common with quetiapine?

1. ASedation, dizziness when standing and weight gain
2. BHigh prolactin with breast enlargement in almost every patient
3. CInsomnia and severe weight loss
4. DA cough and swollen ankles

How should the nurse position herself when talking to an agitated patient?

1. ABehind the patient and close to him, so that the patient does not feel threatened by eye contact
2. BDirectly face to face, as close as possible, to show confidence
3. CAt a safe distance, slightly to the side, with a clear exit available
4. DBetween the patient and the wall, so the patient can leave easily

During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?

1. AAnswer briefly or decline politely, then return the focus to the patient
2. BEnd the session because personal questions are not allowed
3. CShare details about the nurse's family to build a friendship
4. DIgnore the question completely and stay silent until the patient changes the subject

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. AWait until the next morning to see if she still feels the same once the argument has settled down
2. BCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
3. CTell the patient she is only seeking attention
4. DAgree with the colleague and take no action at all