उत्तरों सहित मानसिक स्वास्थ्य नर्सिंग वर्कशीट

What is "sundowning" in a person with dementia?

1. ASleeping all day and staying awake all night from the start of the illness
2. BImproved memory and calmness as darkness falls each evening
3. CSensitivity of the skin to sunlight caused by dementia medicines
4. DIncreased confusion and agitation in the late afternoon and evening

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. AWaxy flexibility
2. BAkathisia
3. CEchopraxia
4. DTardive dyskinesia

What is a token economy?

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

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. AStart the missing patient procedure at once, informing the team and, if required, the police
2. BDo nothing, because patients are allowed to leave whenever they want
3. CRemove his name from the ward list and give his bed to a new patient who is waiting for admission
4. DWait until the next day, because he will probably return on his own

Which communication approach is best for a patient with moderate dementia?

1. AUse abstract language and long explanations so the patient feels respected
2. BAsk several questions together to save time
3. CSpeak loudly and quickly so that the patient stays alert
4. DUse short, simple sentences and give one instruction at a time

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. APlace him in seclusion and then decide about medicine later
2. BGive an intramuscular injection at once without offering any choice
3. COffer the oral medicine first, before considering an injection
4. DHide the medicine in his drink without telling him

In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?

1. AShe may be showing resistance as painful topics come closer, which the nurse can gently explore
2. BShe is being rude to the nurse on purpose and should be warned
3. CShe no longer needs any help, so the sessions should end at once
4. DThe nurse has made a serious mistake and should hand her care to a colleague immediately

In the second session of a new therapy group, members argue about rules and one member challenges the leader's authority. How should the leader interpret this?

1. AThe member who challenged the leader should be removed
2. BThe leader should avoid all conflict by making every decision alone
3. CIt is a normal stage of group development, to be handled openly and calmly
4. DThe group has failed and should be ended before anyone is upset