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

Triệu chứng nào sau đây là triệu chứng âm tính của tâm thần phân liệt?

1. AHoang tưởng bị hại
2. BNghe thấy giọng nói
3. CHành vi vô tổ chức
4. DMất ý chí (thiếu động lực)

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

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. AFlat
2. BBlunted
3. CLabile
4. DCongruent

How should the nurse position herself when talking to an agitated patient?

1. ABetween the patient and the wall, so the patient can leave easily
2. BAt a safe distance, slightly to the side, with a clear exit available
3. CDirectly face to face, as close as possible, to show confidence
4. DBehind the patient and close to him, so that the patient does not feel threatened by eye contact

Which information is essential when documenting the use of physical restraint?

1. AThe nurse's personal opinion of the patient's character and attitude
2. BThe full names of the other patients who saw the incident
3. CThe reason for it, alternatives tried, start and end times, and the observations made
4. DOnly the time the restraint started and the name of the nurse in charge of the shift

Bộ dấu hiệu nào gợi ý hội chứng ác tính do thuốc an thần kinh?

1. ATăng cân và tăng đường huyết
2. BTăng phản xạ, rung giật cơ, tiêu chảy, đồng tử giãn và kích động trong vài giờ sau khi dùng thuốc tăng serotonin mới
3. CRun nhẹ và khát nhiều
4. DSốt cao, cứng cơ "ống chì" nặng, lú lẫn, huyết áp không ổn định và CK tăng

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. AAlways give it as soon as she asks, without assessment
2. BRefuse to give it, because she might become dependent
3. CGive her a placebo tablet instead, without telling her, to see whether she really needs it
4. DAssess her anxiety each time, offer other coping strategies and give it if indicated

A new nurse asks why the therapeutic relationship is different from a social relationship. Which statement is correct?

1. ABoth people share their needs equally, as in any friendship
2. BIt is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
3. CIt has no fixed end, and it can continue as a friendship after discharge if both the nurse and the patient want it to
4. DThe patient is responsible for setting the boundaries of the relationship