1.Dễ
Which feature is typical of Korsakoff syndrome?
- AA flapping tremor of the hands caused by liver failure
- BPinpoint pupils and slow breathing
- CFever, rigidity and a high creatine kinase
- DSevere memory loss with confabulation
2.Dễ
A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?
- APersonalisation
- BCatastrophising
- CEmotional reasoning
- DMind reading
3.Dễ
Phát hiện nào là điển hình của giai đoạn hưng cảm?
- ANgủ 14 giờ mỗi ngày
- BNói và cử động chậm chạp
- CCảm giác vô giá trị
- DGiảm nhu cầu ngủ kèm năng lượng cao
4.Trung bình
A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?
- AExplain that it is a sign of an allergic reaction to the medicine
- BRecognise it as a common side effect, report it and suggest a towel on the pillow
- CStop the clozapine immediately, because this is a sign of agranulocytosis
- DTell him that it means the clozapine dose is too low and needs to be increased
5.Trung bình
Một người bệnh dùng thuốc chống loạn thần đi lại liên tục và nói không thể ngồi yên. Đây gọi là gì?
- ARối loạn vận động muộn
- BGiả Parkinson
- CAkathisia (bồn chồn bất an)
- DCăng trương lực
6.Trung bình
A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?
- AIntrusion symptoms
- BChanges in arousal and reactivity
- CDissociative amnesia for the trauma
- DAvoidance
7.Khó
A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?
- AThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
- BThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
- CHaloperidol will make his hallucinations more frequent
- DHaloperidol does not work in older patients at all
8.Khó
A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?
- AReassure him every time he asks, as often as he needs
- BLock and unlock the door in front of him each time he asks
- CAnswer once, then follow the agreed plan to limit repeated reassurance
- DTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
Đáp án
- 1. D · Severe memory loss with confabulation
- 2. B · Catastrophising
- 3. D · Giảm nhu cầu ngủ kèm năng lượng cao
- 4. B · Recognise it as a common side effect, report it and suggest a towel on the pillow
- 5. C · Akathisia (bồn chồn bất an)
- 6. B · Changes in arousal and reactivity
- 7. A · These patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
- 8. C · Answer once, then follow the agreed plan to limit repeated reassurance
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.