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

In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?

1. AA delusion
2. BA hallucination
3. CAn idea of reference
4. DAn illusion

In behaviour therapy, what is positive reinforcement?

1. ARemoving a reward so that a behaviour becomes less likely
2. BAdding a reward after a behaviour so that the behaviour becomes more likely
3. CAdding an unpleasant consequence so that a behaviour stops
4. DIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAmnesia
2. BApraxia
3. CAphasia
4. DAkathisia

A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?

1. ATransference
2. BDiagnostic overshadowing
3. CSplitting by the patient
4. DPositive reinforcement

A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?

1. ALow blood sodium
2. BRaised prolactin
3. CLow thyroid hormone
4. DRaised blood calcium

Which setting is best for an initial assessment interview with a new patient?

1. AThe corridor, so that the interview can be done quickly
2. BA quiet, private room with chairs at the same level and easy access to the door
3. CThe busy day room, so that the patient feels part of the ward
4. DA small office with the nurse sitting behind a high desk between herself and the door

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AWait for the next routine score in four hours before deciding
2. BGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
3. CEncourage him to drink a large glass of wine to settle the symptoms
4. DReduce monitoring, because a higher score on this scale means that his withdrawal is improving

A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?

1. ARecognise this as countertransference and discuss it in clinical supervision
2. BTell the patient that he reminds her of her father
3. CIgnore the feeling, because feelings do not affect nursing care
4. DAvoid the patient and let other staff do all of his care