1.Dễ
What is the main difference between bipolar I and bipolar II disorder?
- ABipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
- BBipolar I involves only depression; bipolar II involves only mania
- CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
- DBipolar II is always more severe than bipolar I
2.Dễ
What is the main aim of motivational interviewing?
- ATo tell the person exactly what they must do to recover
- BTo confront the person firmly until they admit they have a problem
- CTo help the person explore and resolve their mixed feelings about change
- DTo frighten the person with the worst possible health consequences of their drinking
3.Dễ
A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?
- ANarcissistic
- BAvoidant
- CAntisocial
- DSchizoid
4.Trung bình
Which preparation is usual before electroconvulsive therapy (ECT)?
- AEating a large meal to prevent low blood sugar during the seizure
- BStopping all regular medicines for 2 weeks before the first treatment
- CNo preparation, because the patient stays fully awake during ECT
- DFasting for several hours, because a brief general anaesthetic is given
5.Trung bình
Which findings suggest recent cannabis use?
- APinpoint pupils, slow breathing and drowsiness
- BRed eyes, increased appetite, dry mouth and a fast heart rate
- CDilated pupils, high fever and severe muscle rigidity
- DSlow heart rate, constricted pupils, drooling and watery eyes
6.Trung bình
Theo dõi nào quan trọng với người bệnh bắt đầu dùng valproate?
- AChức năng gan và dấu hiệu viêm tụy, và tư vấn về nguy cơ khi mang thai
- BChức năng phổi và chụp X-quang ngực định kỳ, vì nguy cơ xơ phổi
- CKiểm tra thính lực
- DChỉ nhãn áp
7.Khó
The family of a patient with schizophrenia asks how they can tell if he is becoming unwell again. Which signs should the nurse teach them to watch for?
- ATalking more openly with his family about his feelings and his plans for the future
- BMild dry mouth in the first week of a new medicine
- CPoor sleep, withdrawal from others and increasing suspiciousness
- DA better appetite and more interest in his hobbies
8.Khó
A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?
- AAgree with the colleague and take no action at all
- BTell the patient she is only seeking attention
- CWait until the next morning to see if she still feels the same once the argument has settled down
- DCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
Đáp án
- 1. C · Bipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
- 2. C · To help the person explore and resolve their mixed feelings about change
- 3. B · Avoidant
- 4. D · Fasting for several hours, because a brief general anaesthetic is given
- 5. B · Red eyes, increased appetite, dry mouth and a fast heart rate
- 6. A · Chức năng gan và dấu hiệu viêm tụy, và tư vấn về nguy cơ khi mang thai
- 7. C · Poor sleep, withdrawal from others and increasing suspiciousness
- 8. D · Carry out a full suicide risk assessment, as with any patient who expresses suicidal intent
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