Scheda di esercizi di Infermieristica di salute mentale con soluzioni

Which statement about nicotine replacement therapy is correct?

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

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. AInvoluntary swearing in almost every sentence as the main and only symptom
2. BSeveral motor tics and at least one vocal tic for over a year, starting before 18
3. CA single motor tic that lasts for 2 weeks in an adult
4. DSeizures with loss of consciousness during sleep

In a mental status examination, what does assessing orientation check?

1. AWhether the patient can interpret proverbs and explain their meaning
2. BWhether the patient understands that they are ill and needs treatment for it
3. CWhether the patient knows the time, the place and who they are
4. DWhether the patient's mood matches the facial expression and tone of voice

Which findings suggest recent cannabis use?

1. ASlow heart rate, constricted pupils, drooling and watery eyes
2. BDilated pupils, high fever and severe muscle rigidity
3. CRed eyes, increased appetite, dry mouth and a fast heart rate
4. DPinpoint pupils, slow breathing and drowsiness

Which setting is best for an initial assessment interview with a new patient?

1. AA small office with the nurse sitting behind a high desk between herself and the door
2. BA quiet, private room with chairs at the same level and easy access to the door
3. CThe busy day room, so that the patient feels part of the ward
4. DThe corridor, so that the interview can be done quickly

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

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

A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?

1. ANaltrexone makes opioids much stronger, so smaller doses must be used
2. BNaltrexone blocks opioid analgesics, so pain relief needs to be planned differently
3. CIt is not relevant, because naltrexone only affects the way the body responds to alcohol
4. DNaltrexone causes broken bones to heal more slowly

A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?

1. AArrange for the whole house to be cleared while she is out
2. BWork with her to clear the exits first, then agree a gradual plan together
3. CIgnore the clutter, because it is her own home
4. DTell her that she will be evicted unless everything is thrown away today