Cevaplı Ruh sağlığı hemşireliği çalışma kâğıdı

In substance use, what does "tolerance" mean?

1. ANeeding more of the substance to get the same effect
2. BBeing able to stop using the substance at any time without symptoms
3. CHaving withdrawal symptoms when the substance is stopped suddenly
4. DFeeling a strong craving to use the substance after a long period without it

According to Erikson, what is the main psychosocial task of adolescence?

1. AIntegrity versus despair
2. BIdentity versus role confusion
3. CTrust versus mistrust
4. DIndustry versus inferiority

A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?

1. A"Losing your wife must have been very hard for you."
2. B"Everybody feels that way sometimes. You'll get over it."
3. C"Tell me what it has been like since she died."
4. D"It sounds very lonely without her."

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. ASerotonin syndrome
2. BLithium toxicity
3. CHypertensive crisis from tyramine
4. DAgranulocytosis

Fiziksel kısıtlama kullanımı için hangi ilke geçerlidir?

1. ADaha az kısıtlayıcı önlemler başarısız olduğunda son çaredir; yakın izlemle uygulanır ve güvenli olur olmaz sonlandırılır
2. BKural ihlali için ceza olarak kullanılabilir
3. CBelgelenip ekip tarafından sonradan gözden geçirilmesi koşuluyla, yoğun bir vardiyada personel kolaylığı için kullanılabilir
4. DBelgelenmesine gerek yoktur

Olanzapin gibi ikinci kuşak antipsikotik kullanan hastalarda hangi izlem özellikle önemlidir?

1. AYalnızca trombosit sayısı
2. BYalnızca kemik yoğunluğu
3. CKilo, bel çevresi, kan glikozu ve lipitler
4. DYalnızca işitme ve görme; çünkü ilaçtan en çok bunlar etkilenir

On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?

1. ACarrying out the full admission suicide risk assessment of a newly admitted patient
2. BAccompanying a stable patient to the dining room and recording his food intake
3. CEvaluating whether a PRN medicine given an hour ago has worked
4. DTeaching a patient about the side effects of lithium

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AReduce monitoring, because a higher score on this scale means that his withdrawal is improving
2. BWait for the next routine score in four hours before deciding
3. CGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
4. DEncourage him to drink a large glass of wine to settle the symptoms