Scheda di esercizi di Infermieristica di salute mentale con soluzioni

What is Russell's sign, seen in some patients with eating disorders?

1. AFine, downy hair growing on the face and back
2. BSwelling of the ankles and feet during the first days of refeeding in hospital
3. CCalluses or scars on the back of the hand from inducing vomiting
4. DYellowing of the skin from eating a lot of carrots

Why are benzodiazepines used with caution in older adults?

1. AThey have no effect on the brain in older people
2. BThey cause rapid weight gain and diabetes in all older adults
3. CThey increase the risk of confusion, falls and fractures
4. DThey raise blood pressure to dangerous levels after a single dose

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. ADenial, anger and acceptance
2. BOrientation, working and termination
3. CAlarm, resistance and exhaustion
4. DForming, storming and norming

Which side effects should the nurse monitor for in a patient starting donepezil?

1. AWeight gain and high blood glucose
2. BNausea, diarrhoea and a slow heart rate
3. CTremor, thirst and passing large amounts of urine
4. DDry mouth, constipation and urinary retention

What is the key difference between factitious disorder and malingering?

1. AIn factitious disorder, the symptoms are not produced on purpose at all
2. BThere is no real difference between them, and both terms mean exactly the same thing
3. CIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
4. DMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AGive her a lot of extra attention for the rest of the day
2. BScold her for breaking the ward rules and remove all her privileges
3. CIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
4. DTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings

An 80-year-old patient taking a benzodiazepine for sleep fell at night on the way to the toilet. After checking her for injury, what is the most appropriate next step?

1. AReport the fall, put falls precautions in place and ask for a review of her sleep medicine
2. BGive an extra dose so that she sleeps through the night without getting up
3. CUse bed rails and a restraint every night to keep her safely in bed until the morning
4. DDo nothing more, because falls are normal in older people

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. AReassure him that young people do not have heart problems
2. BTreat it as a possible heart attack, with an urgent ECG and medical review
3. CGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
4. DLet him rest, because the pain will pass when the drug wears off