Cevaplı Ruh sağlığı hemşireliği çalışma kâğıdı

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

1. AParanoid
2. BSchizoid
3. CAvoidant
4. DHistrionic

Which phrase uses person-first language that helps reduce stigma?

1. A"A person with schizophrenia"
2. B"A psycho"
3. C"A mental case"
4. D"A schizophrenic patient"

Which level of anxiety involves disorganised thinking, an inability to communicate clearly and possible loss of contact with reality?

1. AModerate anxiety
2. BNormal everyday anxiety
3. CPanic
4. DMild anxiety

According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?

1. AAt least 2 weeks of continuous symptoms
2. BAt least 1 month, with no further time required
3. CAt least 6 months, including at least 1 month of active symptoms
4. DAt least 2 years, including 6 months of active symptoms

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. AAllow the patient to choose to skip meals if she says she feels full or unwell
2. BTalk with the patient at length about calories during the meal
3. CSupervise the meal and observe the patient for an agreed period afterwards
4. DLet the patient eat alone in her room for privacy

How should the nurse position herself when talking to an agitated patient?

1. ABehind the patient and close to him, so that the patient does not feel threatened by eye contact
2. BDirectly face to face, as close as possible, to show confidence
3. CBetween the patient and the wall, so the patient can leave easily
4. DAt a safe distance, slightly to the side, with a clear exit available

A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?

1. AEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching
2. BGive paracetamol (acetaminophen) and check her again tomorrow
3. CGive the next dose of venlafaxine as planned
4. DHold the serotonergic medicines and inform the prescriber urgently

A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?

1. AAnswer once, then follow the agreed plan to limit repeated reassurance
2. BTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
3. CReassure him every time he asks, as often as he needs
4. DLock and unlock the door in front of him each time he asks