उत्तरों सहित मानसिक स्वास्थ्य नर्सिंग वर्कशीट

Which advice is part of good sleep hygiene?

1. AGet up at the same time each day and avoid caffeine later in the day
2. BHave a large meal and a strong coffee just before going to bed
3. CUse a phone or tablet in bed until you feel tired enough to sleep
4. DTake long naps in the afternoon to make up for any lost sleep at night

What is hoarding disorder?

1. APersistent difficulty throwing things away, so that clutter fills the living space
2. BRepeated checking that all the doors and windows are locked before leaving the house each day
3. CCollecting a few favourite objects as a hobby that the person enjoys
4. DFear of leaving the home because of crowds and public transport

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

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

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. BThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
3. CIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
4. DIbuprofen will make the sertraline work faster

A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?

1. ANew or worsening suicidal thoughts or unusual changes in mood or behaviour
2. BSigns of physical dependence, because it is a controlled stimulant
3. CSevere weight gain in the first week
4. DA dangerous rise in blood pressure after eating foods that contain tyramine

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. AAntidepressant discontinuation syndrome
2. BA relapse of her depression into a severe psychotic depression
3. CSerotonin syndrome
4. DNeuroleptic malignant syndrome

A patient who believes he is a famous religious leader becomes upset when other patients laugh at him. What is the most appropriate nursing action?

1. AEncourage the other patients to explain why the belief is wrong
2. BAsk him to prove his identity in front of the group, so that the laughing stops
3. CProtect him from ridicule, avoid arguing and focus on real activities
4. DAgree that he is the religious leader so that he feels respected

A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?

1. ALithium toxicity
2. BSerotonin syndrome
3. CSimple indigestion
4. DPancreatitis