Cevaplı Ruh sağlığı hemşireliği çalışma kâğıdı

Which signs suggest acute cocaine intoxication?

1. ARed eyes, increased appetite, dry mouth and slowed reactions
2. BSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
3. CPinpoint pupils, slow breathing and drowsiness
4. DDilated pupils, a fast heart rate and high blood pressure

Yöneticisi tarafından eleştirilen bir kadın eve gidip çocuklarına bağırıyor. Bu hangi savunma mekanizmasıdır?

1. Aİnkâr
2. BKarşıt tepki oluşturma
3. CYer değiştirme
4. DGeri alma (undoing)

Which measure has good evidence for reducing suicide deaths?

1. AAvoiding the topic of suicide completely with people at risk
2. BRestricting access to lethal means, such as firearms or large supplies of medicines
3. CAsking the patient to sign a no-suicide contract
4. DGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment

Bipolar bozukluk için lamotrijin kullanan bir hastada yeni bir döküntü gelişiyor. Hemşire ne yapmalıdır?

1. ADöküntüler her zaman zararsız olduğu için görmezden gelmelidir
2. BCiddi bir deri reaksiyonunun başlangıcı olabileceği için hemen bildirmelidir
3. CDozu iki katına çıkarmalıdır
4. DNemlendirici sürmeli ve döküntüler yaygın olduğu için ilacı normal şekilde sürdürmelidir

How may depression present differently in adolescents than in adults?

1. AWith irritability rather than obvious sadness
2. BWith increased energy and less need for sleep
3. CWith a high fever and a rash
4. DAlways with psychotic symptoms

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

1. ANihilistic
2. BSomatic
3. CErotomanic
4. DGrandiose

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. AA worsening of his psychosis that needs a higher dose of antipsychotic
2. BWater intoxication from psychogenic polydipsia
3. CDehydration caused by anticholinergic side effects
4. DNeuroleptic malignant syndrome from his antipsychotic medicine

A school nurse is teaching about inhalant use such as sniffing glue or aerosols. Which risk should be stressed?

1. ASudden death from a heart arrhythmia, even on the first use
2. BInhalants are only dangerous if they are mixed with alcohol
3. CInhalants cause only a mild headache and nothing else
4. DThere is no physical risk, because the substances are legal