Saudi Prometric Nursing Mental Health Nursing

Question 1

What is the priority nursing intervention for a patient expressing suicidal ideation?

Accepted Answer

Ensure immediate safety, stay with the patient, remove harmful objects, activate the safety protocol, and notify the psychiatrist

Answer

Suicidal patient priority: never leave them alone, ensure environmental safety (remove sharps, belts, cords), activate hospital safety/suicide prevention protocol, perform a thorough suicide risk assessment, notify the psychiatrist, and provide one-to-one continuous observation.

Question 2

What are the therapeutic communication techniques used in mental health nursing?

Accepted Answer

Active listening, open-ended questions, reflection, silence, summarizing, and empathic responses

Answer

Therapeutic communication includes: active listening (full attention), open-ended questions ('Tell me about...'), reflection (repeating key thoughts), therapeutic silence, summarizing, empathy, and validation. These build trust and encourage patient expression in Saudi mental health settings.

Question 3

What is the nursing management for a patient experiencing an acute psychotic episode?

Accepted Answer

Maintain a calm, safe environment, use clear simple communication, ensure patient safety, administer prescribed medications, and avoid challenging delusions

Answer

During acute psychosis: ensure safety (patient and staff), maintain calm demeanor, use clear simple language, don't argue with or reinforce delusions, administer antipsychotic medications as prescribed, reduce environmental stimulation, and provide reassurance.

Question 4

What are the common side effects of antipsychotic medications that nurses should monitor?

Accepted Answer

Extrapyramidal symptoms (dystonia, akathisia, tardive dyskinesia), sedation, weight gain, and metabolic syndrome

Answer

Antipsychotic side effects include: EPS (muscle stiffness, tremors, restlessness, involuntary movements), sedation, significant weight gain, metabolic syndrome (diabetes risk), orthostatic hypotension, and rare but dangerous neuroleptic malignant syndrome (NMS).

Question 5

What is the nurse's role in caring for a patient with anxiety disorder?

Accepted Answer

Provide a calm environment, teach relaxation techniques, administer anxiolytics as prescribed, and use therapeutic communication

Answer

Anxiety nursing care: maintain calm therapeutic presence, teach deep breathing and progressive muscle relaxation, administer medications as prescribed (monitor for benzodiazepine dependence), use therapeutic communication, help identify triggers, and support cognitive behavioral strategies.

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Mental Health Nursing