Scheda di esercizi di Infermieristica di salute mentale con soluzioni

A patient smiles and laughs while describing the death of her son. How is this affect described?

1. ACongruent
2. BRestricted but appropriate
3. CIncongruent
4. DEuthymic

What is the main mechanism of action of antipsychotic medicines?

1. ABlocking dopamine D₂ receptors
2. BBlocking the reuptake of serotonin only
3. CStimulating GABA receptors in the brain
4. DIncreasing the release of dopamine

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

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

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. ARecognise it as a common side effect, report it and suggest a towel on the pillow
2. BExplain that it is a sign of an allergic reaction to the medicine
3. CTell him that it means the clozapine dose is too low and needs to be increased
4. DStop the clozapine immediately, because this is a sign of agranulocytosis

Quando va prelevato il sangue per misurare la litiemia di un paziente?

1. ASubito dopo la dose del mattino
2. BCirca 12 ore dopo l'ultima dose
3. C1 ora dopo l'ultima dose
4. DIn qualsiasi momento della giornata, perché non fa differenza

Which physical finding is common in bulimia nervosa?

1. AA high serum potassium level
2. BSwelling of the salivary glands at the angle of the jaw
3. CVery low body weight with lanugo hair
4. DRaised blood pressure, a fast pulse and a high temperature

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
2. BThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
3. CHaloperidol will make his hallucinations more frequent
4. DHaloperidol does not work in older patients at all

The nurse receives handover for four patients. Which patient should she see first?

1. AA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
2. BA newly admitted man with depression who says he has given away his dog and written letters to his children
3. CA woman with bipolar disorder who wants to talk about her discharge plans for next week
4. DA man with schizophrenia who is asking for his PRN laxative