Name :……………………………………………… (1)
Age : …………………………………………..… (2)
Sex : …………………………………………….. (3)
Address : …………………………………………….. (4)
Mobile-phone : …………………………………………….. (5)
City, State : …………………………………………….. (6)
Religion : …………………………………………….. (7)
Marital status : …………………………………………….. (8)
Health Insurance :
…………………………………………….. (9)
Ethnic Origin :
……………………………………………. (10)
A PATIENT WITH DRUG ABUSE.
The patient has
been a regular drug abuser and
reports that he has been taking MDMA (ectasy) for the past three years. During
this period, he has noticed that his general mental health has become impaired. This impairment includes a general confusion,
insomnia, depersonalization and paranoid psychosis.
Studies have
indeed shown that MDMA use is related to a lowering serotonin, which is
associated with depression and anxiety.
Severe chronic anxiety can be treated
with diazepam, fluoxetine or sertraline,insomnia with temazepam and panic
attacks with lorazepam. However, because all of these drugs are potentially addictive, the patient’s GP thought it
best to use an antidepressant for no more than a few weeks.
Unfortunately
the patient returned to using the drug whilst at a ‘rave’ where he took twice
his normal intake of MDMA and was overwhelmed by the combined effect of drug
and the mesmeric, trance-inducing
music and psychedelic visuals. He reported to the first-aid facility for assistance where unfortunately he
experienced a judgmental attitude from staff.
This was
particularly unhelpful because this
young man has difficulties with authority figures and he became uncooperative and eventually refused the
assistance that was offered.
The patient does
not show the typical denial defence mechanisms of many MDMA users and there is
a reason to believe that he will be able to successfully withdraw from the drug
without the help of antipsychotics such as haloperidol.
2. Written in the blanks with
the correct word
- Indigestion is almost universal problem. One of the causes is whenever patient are ……………………………………….. (anxious, anxiety).
- Some drugs give …………………………………………. (hypnotize, hypnotic) effect to patient.
- Do you need my …………………………………………. (assist, assistance, assistant) for bathing.
- The patient ……………………………………………… (withdrawal, withdraws, withdrawn) his consent for this procedure. What should we do doctor ?
- His …………………………………. (addict, addicted, addiction, addictive)
- To alcohol is too chronic that it is difficult to ………………… (withdrawal, withdraw, withdrawn) from it.
- Some sufferers of migraine experience a temporary mental ……………………. (confusing, confuse, confusion, confused).
- The old patients sometimes feel ……. ( confusing, confuse, confusion, confused) with some words in the consent form because of visual ………………. (impairment, impair, impaired).
- A good ……….. (cooperation, cooperative, cooperate) between nurse and patient in treatment will help the process of cure.
- We will do a …………………… (collaboration, collaborative, collaborate) treatment for this patient.
3. Make positive sentences
using 5 tenses (only 2 sentences for each).
- 1. Simple Present Tense
- 2. Simple Past Tense
- 3. Present Progressive Tense
- 4. Present Perfect Tense
- 5. Simple Future Tense
4. Arrange these jumbled words below.
- 1. (vomiting -have-I-been)
- 2. (short-lost-have-a lot of-I-weight-in-time)
- 3. (3 days-more-pain-my-than-persist)
- 4. (pain-the-mainly-back-lower-in-is-part-the-my-of)
- 5. (pain-the-back-legs-shoots-the-my-down-of)
- 6. (skin-dry-your-looks)
- 7. (look-scars-reddish-your)
- 8. (injection-nurse-this-scares-me!
- 9. (to-allergic-I’m-nurse-penicillin)
- 10. (arm-have-injection-my-got-never-in-before-I)
Do your outmost, Guys.
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