Cevaplı Ruh sağlığı hemşireliği çalışma kâğıdı

A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?

1. AReflecting
2. BSeeking clarification
3. COffering self
4. DDefending

For which patients is clozapine mainly used?

1. AOlder patients with dementia who become agitated and restless in the evening
2. BPatients having their very first episode of mild psychosis
3. CPatients with schizophrenia that has not responded to two other antipsychotics
4. DPatients with mild anxiety who need a short-term sedative

Which statement about self-disclosure by the nurse is correct?

1. AIt is never allowed in any situation
2. BIt should be used often to build friendship with the patient
3. CIt should be brief, rare and used only to help the patient
4. DIt is helpful when the nurse shares personal problems in detail

Which finding in a patient with anorexia nervosa is most concerning?

1. ADry skin and brittle hair
2. BFeeling cold in a warm room
3. CConstipation for the past few days
4. DA resting heart rate of 38/min

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. BWait until the next day, because he will probably return on his own
3. CRemove his name from the ward list and give his bed to a new patient who is waiting for admission
4. DDo nothing, because patients are allowed to leave whenever they want

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. BStop the clozapine immediately, because this is a sign of agranulocytosis
3. CTell him that it means the clozapine dose is too low and needs to be increased
4. DRecognise it as a common side effect, report it and suggest a towel on the pillow

A woman with PTSD after a sexual assault by a man becomes distressed when a male nurse is assigned to her. What is the most appropriate response?

1. ATell her that she must learn to face her fears
2. BLeave her without a named nurse until she calms down
3. CInsist that she accept the male nurse, as all staff are professional
4. DAssign a female nurse where possible and explain her care plan to her

A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?

1. ALock him in his room so that he cannot leave
2. BWalk with him, acknowledge his concern and gently redirect him to an activity
3. CTell him firmly that he has been retired for 20 years
4. DUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit