ورقة عمل تمريض الصحة النفسية مع الإجابات

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. AExtrapyramidal side effects such as dystonia and pseudoparkinsonism
2. BRaised prolactin and breast enlargement
3. CWeight gain and raised blood glucose
4. DLow white blood cell count

In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?

1. A2 years
2. B2 months
3. C6 weeks
4. D2 weeks

What is Russell's sign, seen in some patients with eating disorders?

1. ASwelling of the ankles and feet during the first days of refeeding in hospital
2. BCalluses or scars on the back of the hand from inducing vomiting
3. CFine, downy hair growing on the face and back
4. DYellowing of the skin from eating a lot of carrots

A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?

1. AThe patient will avoid contact with others until she feels more confident
2. BThe patient will let staff make all her decisions while in hospital
3. CThe patient will make small everyday decisions on her own
4. DThe patient will move in with a relative who can make decisions for her

A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?

1. ALow thyroid hormone
2. BRaised blood calcium
3. CRaised prolactin
4. DLow blood sodium

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"You're thinking about your mother. Tell me about her."
2. B"Please stop asking about her now and finish your lunch before it gets cold."
3. C"Your mother died 30 years ago. You know that."
4. D"Your mother will visit you later this afternoon."

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. AAsk him to promise that he will not jump, and then let him go home on his own
2. BTell him to go home now and come back tomorrow morning when he feels calmer and safer
3. CLet him leave, because voluntary patients can always go when they want
4. DStay with him and inform the team at once, so he can be urgently assessed under mental health law

The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?

1. ALeaving the young person to decide on her own when to start eating more
2. BMedicine alone, because therapy is not effective in adolescents
3. CFamily-based treatment, in which the parents take an active role in restoring the child's eating
4. DLong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere