Scheda di esercizi di Infermieristica di salute mentale con soluzioni

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. AFlat
2. BBlunted
3. CCongruent
4. DLabile

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. AVoicing doubt
2. BRestating
3. CGiving advice
4. DSummarising

How is lithium mainly removed from the body?

1. ABy the liver, in the bile
2. BThrough the lungs, in the breath
3. CThrough the skin, in sweat only
4. DBy the kidneys, in the urine

A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?

1. AThe patient will move in with a relative who can make decisions for her
2. BThe patient will let staff make all her decisions while in hospital
3. CThe patient will make small everyday decisions on her own
4. DThe patient will avoid contact with others until she feels more confident

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. AIf still awake after about 20 minutes, get up, do something calm and return when sleepy
2. BDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
3. CStay in bed and watch television or use a phone until sleep finally comes
4. DLook at the clock often to check how much sleep is being lost

A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?

1. A"Of course not. Only crazy people would ask that."
2. B"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
3. C"Yes, but you're in the right place now."
4. D"You seem worried about what being here means. Can you tell me more?"

A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?

1. AEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching
2. BHold the serotonergic medicines and inform the prescriber urgently
3. CGive paracetamol (acetaminophen) and check her again tomorrow
4. DGive the next dose of venlafaxine as planned

Un paziente in isolamento sembra addormentato. Che cosa deve fare l'infermiere?

1. ALasciare il paziente fino al turno successivo
2. BProseguire l'osservazione alla frequenza richiesta, controllando respirazione e benessere
3. CSvegliare il paziente ogni 5 minuti per chiedergli come sta e controllare la sua respirazione
4. DSmettere di osservare perché il paziente dorme