1.Dễ
Đặc điểm nào là trung tâm của chán ăn tâm thần (anorexia nervosa)?
- AĂn vô độ lặp lại mà không có hành vi bù trừ nào, với đau khổ rõ rệt về những cơn ăn vô độ
- BĂn những thứ không phải thức ăn
- CHạn chế ăn uống với nỗi sợ tăng cân dữ dội và hình ảnh cơ thể bị méo mó
- DQuan tâm bình thường đến ăn uống lành mạnh
2.Dễ
A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?
- AEmotional reasoning
- BPersonalisation
- CAll-or-nothing thinking
- DCatastrophising
3.Dễ
A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?
- AProjection
- BRationalisation
- CIdentification
- DSuppression
4.Trung bình
A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?
- AAsk a series of direct questions until he answers
- BTell the patient that talking is required to be discharged
- CSpend short, regular periods with the patient without forcing conversation
- DLeave the patient alone until he asks to talk
5.Trung bình
A woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?
- AGeneralised anxiety disorder
- BAcute stress disorder
- CAdjustment disorder with anxiety
- DPost-traumatic stress disorder
6.Trung bình
Which goal for a patient with depression is written in a SMART way?
- A"The patient will improve her mood and sleep and start exercising more at some point."
- B"The patient will feel better soon."
- C"The patient will be happier."
- D"The patient will walk with staff for 15 minutes once a day by Friday."
7.Khó
While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?
- ALeave the patient immediately and not return
- BMatch the patient's level of anxiety to show empathy
- CRecognise that anxiety spreads between people, and calm herself first
- DIgnore her own reaction, because the nurse's feelings do not matter in patient care
8.Khó
A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?
- ATell him he must take it for life and refuse to discuss it
- BDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
- CAdvise him to stop it suddenly on his own and see what happens over the next month
- DReport him to the police and his employer for non-adherence to treatment
Đáp án
- 1. C · Hạn chế ăn uống với nỗi sợ tăng cân dữ dội và hình ảnh cơ thể bị méo mó
- 2. B · Personalisation
- 3. C · Identification
- 4. C · Spend short, regular periods with the patient without forcing conversation
- 5. B · Acute stress disorder
- 6. D · "The patient will walk with staff for 15 minutes once a day by Friday."
- 7. C · Recognise that anxiety spreads between people, and calm herself first
- 8. B · Discuss benefits and risks, decide together with the prescriber and agree a relapse plan
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