Scheda di esercizi di Infermieristica di salute mentale con soluzioni

The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?

1. AImmediate memory
2. BAbstract thinking
3. CLevel of consciousness
4. DOrientation

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. ALabile
2. BBlunted
3. CCongruent
4. DFlat

What is agoraphobia?

1. AFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
2. BFear of being judged or embarrassed while speaking or eating in front of others
3. CFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
4. DFear of one specific object or animal, such as spiders, dogs or snakes

A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?

1. ANihilistic
2. BGrandiose
3. CPersecutory
4. DErotomanic

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. AValproate makes lamotrigine work faster, so the dose must be increased quickly
2. BThe two drugs together cause severe hair growth
3. CLamotrigine will lower the valproate level until it has no effect
4. DValproate raises lamotrigine levels, which increases the risk of a serious rash

Which side effects should the nurse monitor for in a patient starting donepezil?

1. AWeight gain and high blood glucose
2. BTremor, thirst and passing large amounts of urine
3. CDry mouth, constipation and urinary retention
4. DNausea, diarrhoea and a slow heart rate

A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?

1. AIgnore the accusation and walk away until she forgets about it
2. BTell her that her memory is the problem and that the purse is not stolen
3. CStay calm, acknowledge her worry and offer to help her look for it
4. DInsist that nobody would steal from her

A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?

1. A"The tests are done because clozapine can lower my white cells."
2. B"After a few months I can stop having blood tests."
3. C"I'll need regular blood tests for as long as I take clozapine."
4. D"If I get a sore throat or fever, I'll tell someone straight away."