Scheda di esercizi di Infermieristica di salute mentale con soluzioni

Quale di questi è un sintomo positivo della schizofrenia?

1. AMancanza di motivazione (abulia)
2. BAllucinazioni uditive
3. CAppiattimento affettivo
4. DPovertà del linguaggio (alogia)

A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?

1. AChanging the subject
2. BGiving approval
3. CPresenting reality
4. DReflecting feelings

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. AEmotional reasoning
2. BPersonalisation
3. CCatastrophising
4. DAll-or-nothing thinking

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

1. AChange his daily routine often, to help him get used to change
2. BKeep to his usual routines where possible and prepare him for any changes
3. CPut him in a busy bay with lots of noise and activity to keep him stimulated
4. DAvoid his parents' advice, because staff know best how to care for him

According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?

1. AA patient who has not eaten or drunk anything for two days
2. BA patient who feels lonely and wants more visitors
3. CA patient who wants to find a new hobby
4. DA patient who wants to improve her self-esteem

Which action reflects trauma-informed care?

1. AAsking the patient to repeat the full trauma story to each new staff member
2. BUsing physical restraint early to prevent any loss of control
3. CExplaining each procedure in advance and offering choices wherever possible
4. DMaking all decisions for the patient so that she does not feel burdened

A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?

1. ASay nothing, because it is not her responsibility
2. BGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
3. CReport the concern immediately to the nurse in charge, following policy, to protect patients
4. DWait until the end of the shift, then talk privately with the colleague

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AReduce monitoring, because a higher score on this scale means that his withdrawal is improving
2. BEncourage him to drink a large glass of wine to settle the symptoms
3. CGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
4. DWait for the next routine score in four hours before deciding