Scheda di esercizi di Infermieristica di salute mentale con soluzioni

Qual è il rischio ematologico più grave della clozapina?

1. APolicitemia
2. BSovraccarico di ferro
3. CAgranulocitosi (neutropenia grave)
4. DPiastrine elevate

Which statement about nicotine replacement therapy is correct?

1. AIt must never be combined, for example a patch with gum
2. BIt contains tar and carbon monoxide in smaller amounts than cigarettes
3. CIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
4. DIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings

How is lithium mainly removed from the body?

1. ABy the liver, in the bile
2. BBy the kidneys, in the urine
3. CThrough the lungs, in the breath
4. DThrough the skin, in sweat only

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. CLamotrigine will lower the valproate level until it has no effect
4. DValproate makes lamotrigine work faster, so the dose must be increased quickly

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIts anticholinergic effects can cause confusion, urine retention and falls
2. BIt raises blood pressure to dangerous levels in older adults
3. CIt has no effects at all in people over 80, so it will not help her sleep
4. DIt is a strong opioid that causes severe dependence

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. AThyroid function tests
2. BSerum lithium level
3. CUrine drug screen only
4. DAn MRI of the knee

Una paziente dice di aver accumulato a casa una grande scorta di compresse e di avere intenzione di prenderle tutte questo fine settimana. Qual è l'azione prioritaria?

1. ATenerla sotto stretta osservazione, garantire la sua sicurezza immediata e informare urgentemente l'équipe
2. BChiederle di firmare una promessa scritta di non farsi del male, poi lasciarla andare a casa per il fine settimana come previsto
3. COrganizzare un appuntamento di controllo di routine tra un mese
4. DDirle che le cose sembreranno migliori dopo il fine settimana

A patient with depression and a family history of bipolar disorder started an antidepressant 2 weeks ago. He now sleeps 3 hours a night, talks rapidly and is spending large amounts of money. What should the nurse suspect?

1. ANormal relief and extra energy now that his depression has finally lifted after the treatment
2. BA switch into mania or hypomania triggered by the antidepressant
3. CThe expected improvement in mood from the antidepressant
4. DSerotonin syndrome caused by a high dose