Phiếu bài tập Điều dưỡng sức khỏe tâm thần có đáp án

What is agoraphobia?

1. AFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
2. BFear of being judged or embarrassed while speaking or eating in front of others
3. CFear of one specific object or animal, such as spiders, dogs or snakes
4. DFear of situations where escape might be difficult or help unavailable, such as crowds or public transport

What is a psychiatric advance directive (advance statement)?

1. AA contract in which the patient promises the team to take every prescribed medicine for life
2. BA note from the doctor that lists the patient's diagnoses
3. CA court order that allows a patient to be detained in hospital
4. DA document in which a person states their treatment wishes for a time when they may lack capacity

In behaviour therapy, what is negative reinforcement?

1. AAdding a reward after a behaviour so that it happens more often
2. BIgnoring a behaviour so that it slowly disappears over time
3. CTaking away something unpleasant after a behaviour, which makes it more likely
4. DPunishing a behaviour with an unpleasant consequence so that it becomes less likely

What is the CIWA-Ar scale used for?

1. AScreening for dementia in older adults
2. BRating the severity of alcohol withdrawal to guide treatment
3. CMeasuring the depth of sedation in patients on a ventilator in intensive care
4. DMeasuring the risk of falls in hospital

A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?

1. AAsk her to describe the traumatic event in as much detail as she can
2. BLeave her alone until the episode has passed on its own
3. CAsk her to name things she can see, hear and touch in the room right now
4. DAsk her to close her eyes and think back to the worst moment of the trauma

Which pattern suggests premenstrual dysphoric disorder?

1. AMood symptoms that begin only after the menopause and last for several years
2. BMild bloating the day before a period, without any mood changes
3. CMarked mood symptoms in the week before menstruation that improve within a few days after it starts
4. DLow mood throughout the whole month that is not linked to the menstrual cycle

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. ADiagnose late-onset schizophrenia and start an antipsychotic immediately
2. BAssume it is normal ageing and take no action
3. CLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
4. DAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

1. AReport him to the police and his employer for non-adherence to treatment
2. BDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
3. CTell him he must take it for life and refuse to discuss it
4. DAdvise him to stop it suddenly on his own and see what happens over the next month