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
The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?
ARecent memory
BPerception
COrientation
DJudgement
2.Facile
Quale meccanismo di difesa è considerato sano e maturo?
ASublimazione: incanalare sentimenti aggressivi in uno sport
BScissione: vedere le persone come tutte buone o tutte cattive
CNegazione: rifiutare una diagnosi per mesi
DProiezione: dare agli altri la colpa dei propri sentimenti
3.Facile
What is the main goal of crisis intervention?
ATo explore the person's childhood experiences in depth over many years
BTo help the person return at least to their level of functioning before the crisis
CTo change the person's personality so that crises never happen again
DTo admit every person in crisis to hospital for several months
4.Media
A patient who started a high-dose corticosteroid (prednisolone or prednisone) a week ago is now euphoric, sleeping little and talking very fast. What should the nurse suspect?
AA normal reaction to feeling better from the treatment
BLithium toxicity
CAlcohol withdrawal
DMood changes caused by the corticosteroid
5.Media
An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?
AOffer the oral medicine first, before considering an injection
BGive an intramuscular injection at once without offering any choice
CPlace him in seclusion and then decide about medicine later
DHide the medicine in his drink without telling him
6.Media
Which pattern suggests premenstrual dysphoric disorder?
AMarked mood symptoms in the week before menstruation that improve within a few days after it starts
BMild bloating the day before a period, without any mood changes
CLow mood throughout the whole month that is not linked to the menstrual cycle
DMood symptoms that begin only after the menopause and last for several years
7.Difficile
A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?
ASelf-injury without suicidal intent never needs any assessment
BShe should be told that cutting is only attention-seeking behaviour
CSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
DNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
8.Difficile
Un paziente in trattamento per dipendenza da oppioidi sta per ricevere la prima dose di buprenorfina. Ha usato eroina l'ultima volta 2 ore fa. Qual è il rischio?
ANon c'è alcun rischio; va somministrata subito
BLa buprenorfina si somma all'eroina e causa una pericolosa overdose di oppioidi con depressione respiratoria
CLa buprenorfina può causare un'astinenza precipitata se somministrata mentre gli agonisti completi sono ancora attivi
DLa buprenorfina non avrà alcun effetto
Soluzioni
1. D · Judgement
2. A · Sublimazione: incanalare sentimenti aggressivi in uno sport
3. B · To help the person return at least to their level of functioning before the crisis
4. D · Mood changes caused by the corticosteroid
5. A · Offer the oral medicine first, before considering an injection
6. A · Marked mood symptoms in the week before menstruation that improve within a few days after it starts
7. D · Non-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
8. C · La buprenorfina può causare un'astinenza precipitata se somministrata mentre gli agonisti completi sono ancora attivi
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