1.Dễ
A patient says, "If I don't get top marks, I'm a complete failure." Which cognitive distortion is this?
- ACatastrophising
- BAll-or-nothing thinking
- CMind reading
- DPersonalisation
2.Dễ
Hỏi thẳng người bệnh về ý nghĩ tự sát có làm tăng nguy cơ tự sát của họ không?
- AChỉ an toàn ở thanh thiếu niên
- BKhông; hỏi thẳng là an toàn và giúp đánh giá nguy cơ
- CCó; điều đó gieo ý nghĩ vào đầu họ
- DCó; chỉ bác sĩ tâm thần mới nên làm sau khi đánh giá đầy đủ
3.Dễ
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
- AObsessions, compulsions and repeated checking
- BInattention, hyperactivity and impulsivity
- CDelusions, hallucinations and disorganised speech
- DLow mood, loss of interest and poor sleep
4.Trung bình
What is the main advantage of a long-acting injectable antipsychotic?
- AIt works faster than any oral antipsychotic in an acute crisis
- BIt cures schizophrenia after a fixed course of injections
- CIt has no side effects, unlike the oral forms of the same antipsychotic drugs
- DIt improves adherence because the patient does not need to take daily tablets
5.Trung bình
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
- AStop the medicine if the dizziness happens more than once
- BGet up quickly to get the blood flowing to the brain
- CDrink a cup of strong coffee before getting out of bed each morning
- DSit on the edge of the bed for a moment and then stand up slowly
6.Trung bình
A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?
- ANew or worsening suicidal thoughts or unusual changes in mood or behaviour
- BSigns of physical dependence, because it is a controlled stimulant
- CSevere weight gain in the first week
- DA dangerous rise in blood pressure after eating foods that contain tyramine
7.Khó
The nurse receives handover for four patients. Which patient should she see first?
- AA newly admitted man with depression who says he has given away his dog and written letters to his children
- BA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
- CA man with schizophrenia who is asking for his PRN laxative
- DA woman with bipolar disorder who wants to talk about her discharge plans for next week
8.Khó
During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?
- ADiscuss the problem openly and involve patients in finding a solution
- BAsk the patients to write their complaints down and then do nothing
- CTell the patients that the rules cannot be changed
- DEnd the meeting so the complaint is not discussed further
Đáp án
- 1. B · All-or-nothing thinking
- 2. B · Không; hỏi thẳng là an toàn và giúp đánh giá nguy cơ
- 3. B · Inattention, hyperactivity and impulsivity
- 4. D · It improves adherence because the patient does not need to take daily tablets
- 5. D · Sit on the edge of the bed for a moment and then stand up slowly
- 6. A · New or worsening suicidal thoughts or unusual changes in mood or behaviour
- 7. A · A newly admitted man with depression who says he has given away his dog and written letters to his children
- 8. A · Discuss the problem openly and involve patients in finding a solution
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