Scheda di esercizi di Infermieristica di salute mentale con soluzioni

Un paziente a cui è appena stato diagnosticato un cancro dice: "I risultati degli esami devono essere sbagliati; io sto bene." Di quale meccanismo di difesa si tratta?

1. ASpostamento
2. BProiezione
3. CNegazione
4. DSublimazione

A patient says, "If I don't get top marks, I'm a complete failure." Which cognitive distortion is this?

1. APersonalisation
2. BAll-or-nothing thinking
3. CCatastrophising
4. DMind reading

Which pattern of decline is typical of vascular dementia?

1. AVery gradual and steady from the start, without sudden changes
2. BComplete recovery within a few weeks
3. CStepwise, with sudden worsening after each new vascular event
4. DRapid improvement after starting antipsychotic medicine

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AIn the first weeks after discharge
2. BOnly after one year at home
3. CThere is no change in risk after discharge
4. DOnly while the patient is asleep in hospital

A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?

1. A"I'm sure everybody likes you."
2. B"You should find a new job where people like you."
3. C"What evidence do you have that nobody likes you?"
4. D"Why do you care what people at work think?"

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

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

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. AGrab the chair from the patient quickly before he can use it
2. BTurn her back and walk away slowly without saying anything
3. CKeep a safe distance, call for help and avoid trying to take the chair alone
4. DShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge

A patient on suicide precautions asks for his razor to shave. What is the most appropriate response?

1. AFollow policy, for example by supervising the shave or offering an electric razor
2. BRefuse, and tell him he cannot shave at all while in hospital
3. CLet another patient lend him a razor so that staff do not need to be involved and he can keep his privacy
4. DGive him the razor, because he has the right to his own belongings