Scheda di esercizi di Infermieristica di salute mentale con soluzioni

Which statement about nicotine replacement therapy is correct?

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

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. ABlunted
2. BLabile
3. CFlat
4. DCongruent

Which type of hallucination is most common in schizophrenia?

1. AVisual
2. BOlfactory
3. CAuditory
4. DTactile

A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?

1. AAgoraphobia
2. BSocial anxiety disorder
3. CObsessive-compulsive disorder
4. DGeneralised anxiety disorder

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

1. AErotomanic
2. BNihilistic
3. CGrandiose
4. DPersecutory

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
2. BArgue with him that what he sees is not real until he accepts it
3. CStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
4. DLeave him alone in a dark room so that he can sleep it off

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AThat the tantrums are caused by a physical illness
2. BAn extinction burst, which is expected before the behaviour decreases
3. CThat the child needs firm punishment for each tantrum instead
4. DThat the plan has failed and should be stopped immediately

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. ATell the patient she is only seeking attention
2. BCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
3. CWait until the next morning to see if she still feels the same once the argument has settled down
4. DAgree with the colleague and take no action at all