उत्तरों सहित मानसिक स्वास्थ्य नर्सिंग वर्कशीट

What is a token economy?

1. AA form of punishment in which a privilege is removed for every ward rule that the patient breaks
2. BA programme in which patients earn tokens for target behaviours and swap them for rewards
3. CA system that lets patients pay for their own medicines and snacks while on the ward
4. DA method of group therapy based on discussing money problems

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AOnly after 1 year
2. BWithin 3 days
3. COnly after 2 years
4. DWithin 3 months

In behaviour therapy, what is positive reinforcement?

1. AAdding a reward after a behaviour so that the behaviour becomes more likely
2. BAdding an unpleasant consequence so that a behaviour stops
3. CIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
4. DRemoving a reward so that a behaviour becomes less likely

How does memantine work in Alzheimer's disease?

1. AIt blocks dopamine D₂ receptors
2. BIt inhibits the breakdown of acetylcholine
3. CIt increases serotonin by blocking its reuptake
4. DIt blocks NMDA glutamate receptors

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. AExplain that it is a sign of an allergic reaction to the medicine
2. BRecognise it as a common side effect, report it and suggest a towel on the pillow
3. CStop the clozapine immediately, because this is a sign of agranulocytosis
4. DTell him that it means the clozapine dose is too low and needs to be increased

What should a patient starting zolpidem for insomnia be taught to report?

1. ADoing things while not fully awake, such as sleepwalking or driving, with no memory of it
2. BFeeling sleepy about 30 minutes after taking it at bedtime
3. CFeeling slightly more rested and alert the next morning than before starting the medicine
4. DSleeping through the night without waking up

An older patient receiving haloperidol for agitation has an episode of fainting and palpitations. Which test does the nurse expect to be ordered first?

1. AA white blood cell count with differential
2. BA serum lithium level
3. CAn ECG to look for a prolonged QT interval
4. DA liver function test

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AReport the finding, review his eating pattern and suggest giving the medicine after breakfast
2. BAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
3. CStop the medicine immediately without telling the prescriber
4. DIgnore it, because weight changes in children are always normal