Scheda di esercizi di Infermieristica di salute mentale con soluzioni

Dopo essere stata criticata dal suo responsabile, una donna torna a casa e urla contro i figli. Di quale meccanismo di difesa si tratta?

1. ASpostamento
2. BAnnullamento retroattivo
3. CFormazione reattiva
4. DNegazione

A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?

1. AGiving recognition
2. BGiving approval
3. CVoicing doubt
4. DPresenting reality

Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?

1. AFlumazenil
2. BDisulfiram
3. CNaloxone
4. DClonidine

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

1. ALook at the clock often to check how much sleep is being lost
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. DIf still awake after about 20 minutes, get up, do something calm and return when sleepy

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. ALet the patient eat alone in her room for privacy
2. BAllow the patient to choose to skip meals if she says she feels full or unwell
3. CSupervise the meal and observe the patient for an agreed period afterwards
4. DTalk with the patient at length about calories during the meal

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. AAn ideal therapeutic relationship
2. BTransference by the patient towards the nurse, which is never the nurse's concern
3. CPossible boundary problems that she should discuss in supervision
4. DThat the patient needs to be transferred to another unit

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. ADrink a small glass of wine or beer before bed to help him fall asleep
2. BTake a double dose at night to make him sleepy
3. CStop the fluoxetine at once and tell the prescriber at his next appointment
4. DDiscuss with the prescriber whether he can take it in the morning instead

A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?

1. AIgnore the complaint until he mentions it again
2. BAgree with the colleague and give him a PRN anxiolytic
3. CAssess him physically, with vital signs and an ECG if indicated
4. DTell him to lie down in his room, rest and stop worrying so much about his health