ورقة عمل تمريض الصحة النفسية مع الإجابات

A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?

1. AAvoidant
2. BHistrionic
3. CDependent
4. DSchizoid

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

1. ANeologism
2. BConfabulation
3. CEcholalia
4. DEchopraxia

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AAntisocial, borderline, histrionic and narcissistic
2. BAvoidant, dependent and obsessive-compulsive
3. CHistrionic, dependent and schizoid
4. DParanoid, schizoid and schizotypal

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey take 4–6 weeks to have any effect on anxiety, like antidepressants
2. BThey give rapid relief but are generally used only short-term because of tolerance and dependence
3. CThey are the preferred long-term treatment for generalised anxiety disorder
4. DThey are safe to stop suddenly after many months of daily use

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. AAgranulocytosis
2. BHyperthyroidism
3. CHypothyroidism
4. DSerotonin syndrome

A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?

1. AARFID; the risk of choking on food
2. BAnorexia; dangerously low body weight and bradycardia
3. CBulimia; severe hypokalaemia from vomiting
4. DPica; poisoning such as lead toxicity, or bowel obstruction

A patient with depression and a family history of bipolar disorder started an antidepressant 2 weeks ago. He now sleeps 3 hours a night, talks rapidly and is spending large amounts of money. What should the nurse suspect?

1. AThe expected improvement in mood from the antidepressant
2. BSerotonin syndrome caused by a high dose
3. CNormal relief and extra energy now that his depression has finally lifted after the treatment
4. DA switch into mania or hypomania triggered by the antidepressant

في اليوم الثاني بعد آخر شراب، لدى مريض رعاش واضح ويرى حشرات على الجدران ومعدل نبضه 124/min وضغط دمه 170/100 mmHg وتعرق غزير. ما الأولوية؟

1. Aشرح أن الحشرات غير حقيقية وتركه يرتاح
2. Bالتعامل معه على أنه هذيان ارتعاشي محتمل: طلب مساعدة طبية عاجلة، وإعطاء البنزوديازيبينات حسب الوصفة، وإبقاؤه آمنًا
3. Cتقييد تناوله للسوائل
4. Dإعطاؤه قدرًا صغيرًا من الكحول لتسكين الأعراض، ثم تركه ينام في غرفة جانبية هادئة والباب مغلق