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

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?

1. ASummarising
2. BRestating
3. CVoicing doubt
4. DGiving advice

Which nurse response is an example of giving advice, a non-therapeutic technique?

1. A"Tell me more about your relationship."
2. B"What options have you thought about?"
3. C"If I were you, I would leave him."
4. D"How do you feel about leaving him?"

Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?

1. ASexual dysfunction
2. BHair loss
3. CExcessive hunger
4. DSevere constipation

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. AThe two drugs together cause severe hair growth
2. BLamotrigine will lower the valproate level until it has no effect
3. CValproate makes lamotrigine work faster, so the dose must be increased quickly
4. DValproate raises lamotrigine levels, which increases the risk of a serious rash

Which communication approach is best with a patient who has paranoid personality disorder?

1. ATalk about the patient with colleagues in whispers within his sight
2. BAvoid explaining anything so that the patient does not become suspicious
3. CBe very warm and joke often to put the patient at ease
4. DBe clear, honest and business-like, and explain the reasons for actions

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. ATalk with the patient at length about calories during the meal
2. BAllow the patient to choose to skip meals if she says she feels full or unwell
3. CSupervise the meal and observe the patient for an agreed period afterwards
4. DLet the patient eat alone in her room for privacy

The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?

1. AFamily-based treatment, in which the parents take an active role in restoring the child's eating
2. BLong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere
3. CMedicine alone, because therapy is not effective in adolescents
4. DLeaving the young person to decide on her own when to start eating more

An 82-year-old started amitriptyline last week. Which finding is most concerning?

1. AA slightly dry mouth
2. BFeeling a little drowsy in the evening
3. CMild constipation that responds to extra fluids and fibre in the diet
4. DNew confusion and difficulty passing urine