1.Dễ
Which type of hallucination is most common in schizophrenia?
- AVisual
- BAuditory
- CTactile
- DOlfactory
2.Dễ
Which feature is typical of Korsakoff syndrome?
- AA flapping tremor of the hands caused by liver failure
- BFever, rigidity and a high creatine kinase
- CSevere memory loss with confabulation
- DPinpoint pupils and slow breathing
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?
- ASummarising
- BRestating
- CVoicing doubt
- DGiving advice
4.Trung bình
A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?
- A"A sudden severe headache is a reason to get help straight away."
- B"I can take any cold and flu remedy from the pharmacy."
- C"I'll tell any new doctor or dentist that I take an MAOI."
- D"I'll avoid aged cheese and cured meats."
5.Trung bình
Which findings suggest recent cannabis use?
- ARed eyes, increased appetite, dry mouth and a fast heart rate
- BPinpoint pupils, slow breathing and drowsiness
- CDilated pupils, high fever and severe muscle rigidity
- DSlow heart rate, constricted pupils, drooling and watery eyes
6.Trung bình
A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?
- ALook at the clock often to check how much sleep is being lost
- BStay in bed and watch television or use a phone until sleep finally comes
- CIf still awake after about 20 minutes, get up, do something calm and return when sleepy
- DDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
7.Khó
A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?
- AThe patient has developed a new psychotic illness
- BThe patient no longer needs the sessions and should be discharged at once
- CThe nurse has made an error and should cancel the discharge
- DThe patient is reacting to the coming end of the relationship
8.Khó
A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?
- APancreatitis
- BLithium toxicity
- CSerotonin syndrome
- DSimple indigestion
Đáp án
- 1. B · Auditory
- 2. C · Severe memory loss with confabulation
- 3. B · Restating
- 4. B · "I can take any cold and flu remedy from the pharmacy."
- 5. A · Red eyes, increased appetite, dry mouth and a fast heart rate
- 6. C · If still awake after about 20 minutes, get up, do something calm and return when sleepy
- 7. D · The patient is reacting to the coming end of the relationship
- 8. A · Pancreatitis
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