Scheda di esercizi di Infermieristica di salute mentale con soluzioni

Scheda di esercizi di Infermieristica di salute mentale gratuita e stampabile: 8 esercizi dal livello facile a quello d’esame, con le soluzioni. Stampala o salvala come PDF.

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Nome: ____________________   Data: ____________

1.Facile

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

  1. AAvoidant
  2. BSchizoid
  3. CHistrionic
  4. DParanoid
2.Facile

Which side effects are typical of mirtazapine?

  1. ASedation and increased appetite with weight gain
  2. BInsomnia, agitation and weight loss
  3. CHigh blood pressure and tremor
  4. DPriapism and a dry cough
3.Facile

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

  1. ADantrolene
  2. BHaloperidol
  3. CLithium
  4. DFluoxetine
4.Media

A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?

  1. AA high haemoglobin
  2. BA high serum potassium
  3. CA low serum sodium
  4. DA low serum cholesterol
5.Media

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

  1. A"I'll tell any new doctor or dentist that I take an MAOI."
  2. B"I can take any cold and flu remedy from the pharmacy."
  3. C"A sudden severe headache is a reason to get help straight away."
  4. D"I'll avoid aged cheese and cured meats."
6.Media

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

  1. ANeuroleptic malignant syndrome
  2. BA relapse of her depression into a severe psychotic depression
  3. CAntidepressant discontinuation syndrome
  4. DSerotonin syndrome
7.Difficile

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

  1. AAgree to assign Anna to her every day so that she stays safe
  2. BTake the statement seriously, assess her risk and explain that nursing assignments are decided by the team
  3. CTell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
  4. DIgnore the threat, because she is only trying to manipulate staff
8.Difficile

A patient tells the nurse, "You're the only one I can talk to. You're much better than the other nurses." What is the most appropriate response?

  1. A"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."
  2. B"Thank you. I'll make sure I'm always the one assigned to you from now on."
  3. C"I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
  4. D"You shouldn't compare nurses. That's not fair to them, and it's rude."

Soluzioni

  1. 1. C · Histrionic
  2. 2. A · Sedation and increased appetite with weight gain
  3. 3. A · Dantrolene
  4. 4. C · A low serum sodium
  5. 5. B · "I can take any cold and flu remedy from the pharmacy."
  6. 6. C · Antidepressant discontinuation syndrome
  7. 7. B · Take the statement seriously, assess her risk and explain that nursing assignments are decided by the team
  8. 8. C · "I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."

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