Scheda di esercizi di Infermieristica di salute mentale con soluzioni

A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?

1. ASchizoid
2. BNarcissistic
3. CAvoidant
4. DAntisocial

What is Russell's sign, seen in some patients with eating disorders?

1. AYellowing of the skin from eating a lot of carrots
2. BFine, downy hair growing on the face and back
3. CCalluses or scars on the back of the hand from inducing vomiting
4. DSwelling of the ankles and feet during the first days of refeeding in hospital

What is agoraphobia?

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

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"That would be against the rules, so please stop asking about it."
2. B"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
3. C"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
4. D"Of course, as long as you don't tell the other patients."

Quale affermazione sul buspirone per l'ansia è corretta?

1. ADà forte dipendenza
2. BDeve essere assunto con l'alcol
3. CImpiega settimane per agire e non è utile come farmaco al bisogno
4. DAgisce in pochi minuti durante un attacco di panico, come una benzodiazepina

Quale intervallo di litiemia sierica è comunemente indicato come intervallo terapeutico di mantenimento?

1. ACirca 3,5–5,0 mmol/L
2. BCirca 0,01–0,05 mmol/L
3. CCirca 2,0–3,0 mmol/L (livelli più alti servono per la mania acuta)
4. DCirca 0,6–1,2 mmol/L (gli intervalli target variano tra le linee guida)

Una paziente con disturbo da stress post-traumatico appare all'improvviso terrorizzata, con lo sguardo fisso e respiro rapido, e dice di essere "tornata là". Che cosa deve fare per prima l'infermiere?

1. AToccarla all'improvviso da dietro per attirare la sua attenzione
2. BUscire dalla stanza perché si calmi da sola
3. CParlare con calma, usare il suo nome e usare tecniche di grounding per riportare la sua attenzione al presente
4. DChiederle di descrivere subito ogni dettaglio del trauma perché possa elaborare il ricordo

A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?

1. AGive paracetamol (acetaminophen) and check her again tomorrow
2. BEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching
3. CHold the serotonergic medicines and inform the prescriber urgently
4. DGive the next dose of venlafaxine as planned