Scheda di esercizi di Infermieristica di salute mentale con soluzioni

Asked how she slept, a patient describes her evening meal, a television programme and a phone call from her sister in great detail, and finally says that she slept badly. What is this called?

1. ATangentiality
2. BThought blocking
3. CCircumstantiality
4. DPerseveration

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. AExtrapyramidal side effects such as dystonia and pseudoparkinsonism
2. BLow white blood cell count
3. CRaised prolactin and breast enlargement
4. DWeight gain and raised blood glucose

What is the main mechanism of action of antipsychotic medicines?

1. AIncreasing the release of dopamine
2. BBlocking dopamine D₂ receptors
3. CStimulating GABA receptors in the brain
4. DBlocking the reuptake of serotonin only

Quale monitoraggio è particolarmente importante per i pazienti in terapia con antipsicotici di seconda generazione come l'olanzapina?

1. ASolo la densità ossea
2. BPeso, circonferenza vita, glicemia e lipidi
3. CSolo udito e vista, perché sono i più colpiti dal farmaco
4. DSolo la conta piastrinica

A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?

1. APica; poisoning such as lead toxicity, or bowel obstruction
2. BAnorexia; dangerously low body weight and bradycardia
3. CBulimia; severe hypokalaemia from vomiting
4. DARFID; the risk of choking on food

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

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

After witnessing a serious accident, a woman suddenly cannot move her legs. Full investigations are normal. Which nursing approach is most appropriate?

1. AFocus every conversation on the details of her leg weakness
2. BTell her that the paralysis is fake and that she should stand up
3. CAccept that the symptom is real for her, help with mobility needs and gently explore recent stress
4. DIgnore her requests for help completely until she agrees to try to walk again on her own

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. AAssume it is normal ageing and take no action
2. BLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
3. CAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
4. DDiagnose late-onset schizophrenia and start an antipsychotic immediately