मानसिक स्वास्थ्य नर्सिंग: क्रैम पैक

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. ASupervise the meal and observe the patient for an agreed period afterwards
2. BLet the patient eat alone in her room for privacy
3. CAllow the patient to choose to skip meals if she says she feels full or unwell
4. DTalk with the patient at length about calories during the meal

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

1. AAgree to assign Anna to her every day so that she stays safe
2. BIgnore the threat, because she is only trying to manipulate staff
3. CTell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
4. DTake the statement seriously, assess her risk and explain that nursing assignments are decided by the team

एक व्यक्ति रोज़ घंटों इस चिंता में बिताता है कि उसकी नाक पर एक छोटा निशान बदसूरत है, लगातार आईना देखता है, और दूसरों को कुछ ग़लत नहीं दिखता। कौन-सा निदान उपयुक्त है?

1. Aरोग चिंता विकार
2. Bशरीर विरूपता विकार (बॉडी डिस्मॉर्फ़िक डिसऑर्डर)
3. Cएनोरेक्सिया नर्वोसा
4. Dसामाजिक चिंता विकार

एक वृद्ध रोगी नई दवा शुरू करने के बाद दो दिनों में भ्रमित हो जाती है, और उसका ध्यान दिन भर बदलता रहता है। उसकी बेटी कहती है कि पिछले सप्ताह उसकी स्मृति सामान्य थी। सबसे उचित व्याख्या क्या है?

1. Aप्रारंभिक अल्ज़ाइमर रोग, जिसके लिए स्मृति क्लिनिक में रेफ़र करना आवश्यक है
2. Bसामान्य वृद्धावस्था
3. Cदेर से शुरू होने वाला सिज़ोफ़्रेनिया
4. Dप्रलाप, जिसके लिए किसी शारीरिक या दवा कारण की खोज आवश्यक है

During an infusion of a vesicant chemotherapy drug, the patient reports burning, and the site is swollen. What should the nurse do first?

1. ARemove the cannula at once and massage the area firmly
2. BStop the infusion, leave the cannula in and follow the protocol
3. CIncrease the infusion rate to finish quickly
4. DFlush the line with a large volume of saline

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. Serum potassium is 3.1 mmol/L (mEq/L). Why is this a concern?

1. AInsulin raises potassium further and can cause cardiac arrest, so the infusion is given faster
2. BInsulin moves potassium into cells, so the level can fall dangerously low
3. CPotassium has no link with insulin, so the infusion is started as planned
4. DLow potassium makes insulin ineffective, so a higher dose is needed