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

Which sequence describes the cycle of violence often seen in intimate partner abuse?

1. AReconciliation, acute violence, then tension-building with no further violence
2. BAcute violence, then permanent separation of the partners
3. CTension-building, then a calm phase that lasts for the rest of the relationship
4. DTension-building, acute violence, then reconciliation (the "honeymoon" phase)

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ARinging in the ears
2. BA dry cough
3. CDarkening of the skin on the hands and face
4. DA painful erection that does not go away

A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?

1. AGiving approval
2. BChanging the subject
3. CPresenting reality
4. DReflecting feelings

An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?

1. AThe normal ageing process
2. BA sudden onset of Alzheimer's disease
3. CA first episode of schizophrenia caused by moving into the home
4. DAn infection such as a urinary tract infection, or a medicine side effect

Which effects of methadone should the nurse monitor for?

1. AAgranulocytosis and a sore throat
2. BHair loss, weight loss and a painful red rash on the face
3. CRespiratory depression, sedation and a prolonged QT interval
4. DHypertensive crisis after eating aged cheese

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. ALip smacking, tongue thrusting and grimacing after years of treatment
2. BSudden muscle spasm of the neck with the eyes rolled upwards
3. CShuffling gait, mask-like face, rigidity and a resting tremor
4. DRestless pacing and an inability to sit still

In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?

1. AThe nurse has made a serious mistake and should hand her care to a colleague immediately
2. BShe is being rude to the nurse on purpose and should be warned
3. CShe may be showing resistance as painful topics come closer, which the nurse can gently explore
4. DShe no longer needs any help, so the sessions should end at once

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. ACarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
2. BTell the patient she is only seeking attention
3. CAgree with the colleague and take no action at all
4. DWait until the next morning to see if she still feels the same once the argument has settled down