ورقة عمل تمريض الصحة النفسية مع الإجابات

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

1. AHistrionic
2. BAvoidant
3. CSchizoid
4. DParanoid

رجل منجذب إلى زميلة له يتهم زوجته بأنها تريد إقامة علاقة غرامية. أي آلية دفاعية هذه؟

1. Aالتبرير
2. Bالقمع
3. Cالنكوص
4. Dالإسقاط

لماذا ينبغي للممرضات عادةً تجنب أسئلة "لماذا" للمرضى، مثل "لماذا فعلت ذلك؟"

1. Aلأنها مفتوحة جدًا
2. Bلأنها مخالفة للقانون دائمًا
3. Cلأنها قد تجعل المريض يشعر بأنه موضع حكم فيتخذ موقفًا دفاعيًا
4. Dلأنها تجعل التقييم أقصر

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. AThe two drugs together cause severe hair growth
2. BValproate makes lamotrigine work faster, so the dose must be increased quickly
3. CValproate raises lamotrigine levels, which increases the risk of a serious rash
4. DLamotrigine will lower the valproate level until it has no effect

What is the main difference between disulfiram and naltrexone in alcohol dependence?

1. ABoth work in exactly the same way, so they are fully interchangeable
2. BNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
3. CDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
4. DDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk

أي عامل هو من أقوى منبئات الانتحار في المستقبل؟

1. Aالزواج
2. Bمحاولة انتحار سابقة
3. Cوجود عمل مستقر
4. Dوجود إيمان ديني قوي

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

1. AThe normal effects of ageing
2. BThe combined anticholinergic effects of her medicines
3. CSudden-onset Alzheimer's disease
4. DA sign that she needs a higher dose of amitriptyline

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. AAlways give it as soon as she asks, without assessment
2. BRefuse to give it, because she might become dependent
3. CGive her a placebo tablet instead, without telling her, to see whether she really needs it
4. DAssess her anxiety each time, offer other coping strategies and give it if indicated