उत्तरों सहित मानसिक स्वास्थ्य नर्सिंग वर्कशीट

Why are benzodiazepines used with caution in older adults?

1. AThey have no effect on the brain in older people
2. BThey cause rapid weight gain and diabetes in all older adults
3. CThey raise blood pressure to dangerous levels after a single dose
4. DThey increase the risk of confusion, falls and fractures

How is lithium mainly removed from the body?

1. AThrough the lungs, in the breath
2. BBy the kidneys, in the urine
3. CBy the liver, in the bile
4. DThrough the skin, in sweat only

A patient says, "If I don't get top marks, I'm a complete failure." Which cognitive distortion is this?

1. AMind reading
2. BPersonalisation
3. CAll-or-nothing thinking
4. DCatastrophising

What is assertive community treatment (ACT)?

1. AA self-help group run entirely by former patients, without any professional staff or support at all
2. BCompulsory hospital treatment for people who refuse medicine
3. CIntensive team-based support at home for people with severe mental illness and frequent admissions
4. DA short course of assertiveness training for people with mild social anxiety

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"Your mother will visit you later this afternoon."
2. B"You're thinking about your mother. Tell me about her."
3. C"Please stop asking about her now and finish your lunch before it gets cold."
4. D"Your mother died 30 years ago. You know that."

Which side effects are most common with quetiapine?

1. AHigh prolactin with breast enlargement in almost every patient
2. BSedation, dizziness when standing and weight gain
3. CInsomnia and severe weight loss
4. DA cough and swollen ankles

A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?

1. AHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
2. BHis usual methadone should continue, and additional analgesia is usually needed for acute pain
3. CHis methadone should be stopped while he is in hospital
4. DHe should get no opioids at all, because of his history

Which patient should the nurse check first?

1. AA patient with OCD who is late for breakfast because of a long washing ritual in the bathroom
2. BA patient given IM haloperidol and lorazepam 30 minutes ago who is hard to rouse, breathing 8/min
3. CA patient with schizophrenia who wants a cigarette break in the garden
4. DA patient with depression who is asking for help to phone his mother