Scheda di esercizi di Infermieristica di salute mentale con soluzioni

To which drug class does methylphenidate belong?

1. AMood stabilisers
2. BAntipsychotics
3. CBenzodiazepines
4. DCentral nervous system stimulants

The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?

1. APerception
2. BOrientation
3. CJudgement
4. DRecent memory

A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?

1. AThought blocking
2. BEcholalia
3. CFlight of ideas
4. DThought broadcasting

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt shows that the nurse is not listening at all
2. BIt is against the law in mental health settings
3. CIt always makes the patient angry and more likely to become aggressive towards staff
4. DIt suggests that the patient's choices are judged against the nurse's standards

Un paziente dice: "Non valgo niente. Non importo a nessuno." Quale risposta è più terapeutica?

1. A"Si sente come se non importasse a nessuno. Mi racconti di più."
2. B"Non dovrebbe dire queste cose."
3. C"Non è vero; qui tutti tengono a lei."
4. D"Parliamo di qualcosa di più allegro."

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
3. CThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
4. DThese are signs of an allergic reaction, so she should never take lithium again

A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?

1. ADiscuss the matter with the mother alone and ask her to stop
2. BDischarge the child home with the mother as soon as possible
3. CDocument the event carefully in the notes and wait to see whether it happens again before telling anyone else
4. DEnsure the child's safety and follow child protection procedures

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. ABrief experiences like this can be part of normal grief
2. BIt proves she has severe major depression with psychosis
3. CIt means she has delirium and needs urgent tests
4. DIt is a sign of schizophrenia that needs antipsychotic medicine