Scheda di esercizi di Infermieristica di salute mentale con soluzioni

A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?

1. AElectroconvulsive therapy
2. BLithium carbonate
3. CBright light therapy
4. DSeclusion in a quiet room

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. BSublimazione
3. CProiezione
4. DNegazione

A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?

1. ASchizoid
2. BAntisocial
3. CAvoidant
4. DNarcissistic

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt is against the law in mental health settings
2. BIt shows that the nurse is not listening at all
3. CIt suggests that the patient's choices are judged against the nurse's standards
4. DIt always makes the patient angry and more likely to become aggressive towards staff

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination is completely safe because they act on different systems
2. BIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
3. CIbuprofen will make the sertraline work faster
4. DThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber

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. AAn MRI of the knee
2. BThyroid function tests
3. CSerum lithium level
4. DUrine drug screen only

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

A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?

1. ATell her she will be tube-fed if she does it again
2. BCalmly follow the agreed care plan on activity and observation, without arguing or punishing
3. CPraise her for being so active and motivated, because it shows she is taking care of her health
4. DIgnore it, because exercise is always healthy