ورقة عمل تمريض الصحة النفسية مع الإجابات

يعاني مريض نوبة هلع. ماذا ينبغي أن تفعل الممرضة؟

1. Aشرح كيفية نشوء اضطراب الهلع بالتفصيل ليفهم المريض النوبة
2. Bالبقاء مع المريض والتحدث بهدوء بجمل قصيرة وبسيطة وتوفير مكان هادئ
3. Cتشجيع المريض على الانضمام إلى نشاط جماعي مزدحم
4. Dترك المريض وحده ليهدأ

Which statement about nicotine replacement therapy is correct?

1. AIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
2. BIt must never be combined, for example a patch with gum
3. CIt contains tar and carbon monoxide in smaller amounts than cigarettes
4. DIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. AA single motor tic that lasts for 2 weeks in an adult
2. BSeizures with loss of consciousness during sleep
3. CSeveral motor tics and at least one vocal tic for over a year, starting before 18
4. DInvoluntary swearing in almost every sentence as the main and only symptom

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. CRespond respectfully but firmly, and keep the same expectations as for other patients
4. DArrange for only the senior doctor to see him from now on

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination is completely safe because they act on different systems
2. BIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
3. CIbuprofen will make the sertraline work faster
4. DThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber

Which US legal case is associated with the duty of mental health professionals to protect people who are threatened by a patient?

1. ABrown v Board of Education
2. BMiranda v Arizona
3. CTarasoff v Regents of the University of California
4. DRoe v Wade

An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?

1. ANormal ageing with mild forgetfulness
2. BDelirium
3. CBrief psychotic disorder in later life
4. DA neurocognitive disorder such as Alzheimer's disease

An older woman living with her son looks thin and unkempt. She says her son "looks after the money" and she is often hungry. What should the nurse do?

1. ATell her that she must move out of her son's home at once and stay with friends until the matter is sorted out
2. BTalk to her privately, document the findings and raise an adult safeguarding concern
3. CAsk the son in front of her whether he is stealing her money
4. DIgnore it, because family finances are a private matter