1.Dễ
What is trichotillomania?
- AA fear of hair, combs and hairdressers
- BA fungal infection of the scalp that is common in people with OCD
- CRepeatedly pulling out one's own hair, leading to hair loss
- DHair loss caused by lithium treatment
2.Dễ
What is anhedonia?
- ALoss of interest or pleasure in activities that were enjoyed before
- BA belief that one's body is diseased or rotting
- CAn inability to fall asleep at night despite feeling very tired during the day
- DRapid, pressured speech that is hard to interrupt
3.Dễ
A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?
- ARestating
- BGiving advice
- CSummarising
- DVoicing doubt
4.Trung bình
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
- AGrandiose
- BNihilistic
- CPersecutory
- DErotomanic
5.Trung bình
Which measurement should be monitored regularly in a patient taking venlafaxine?
- ASerum lithium level
- BPeak expiratory flow
- CBlood pressure
- DVisual acuity
6.Trung bình
Which effects of methadone should the nurse monitor for?
- AHair loss, weight loss and a painful red rash on the face
- BAgranulocytosis and a sore throat
- CHypertensive crisis after eating aged cheese
- DRespiratory depression, sedation and a prolonged QT interval
7.Khó
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?
- AArrange for the whole house to be cleared while she is out
- BIgnore the clutter, because it is her own home
- CTell her that she will be evicted unless everything is thrown away today
- DWork with her to clear the exits first, then agree a gradual plan together
8.Khó
A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?
- ATell him firmly that he has been retired for 20 years
- BWalk with him, acknowledge his concern and gently redirect him to an activity
- CLock him in his room so that he cannot leave
- DUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit
Đáp án
- 1. C · Repeatedly pulling out one's own hair, leading to hair loss
- 2. A · Loss of interest or pleasure in activities that were enjoyed before
- 3. A · Restating
- 4. B · Nihilistic
- 5. C · Blood pressure
- 6. D · Respiratory depression, sedation and a prolonged QT interval
- 7. D · Work with her to clear the exits first, then agree a gradual plan together
- 8. B · Walk with him, acknowledge his concern and gently redirect him to an activity
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