1.Dễ
According to DSM-5, generalised anxiety disorder involves excessive worry on more days than not for at least how long?
- A2 weeks
- B2 years
- C1 month
- D6 months
2.Dễ
Which medicine is commonly used to treat antipsychotic-induced akathisia?
- AHaloperidol
- BBupropion
- CPropranolol
- DLithium
3.Dễ
Vì sao điều dưỡng thường nên tránh hỏi người bệnh câu "tại sao", như "Tại sao bác làm thế?"
- AChúng luôn trái pháp luật
- BChúng quá mở
- CChúng làm việc đánh giá ngắn hơn
- DCó thể khiến người bệnh cảm thấy bị phán xét và phòng thủ
4.Trung bình
A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?
- AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
- BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
- CThese are signs of an allergic reaction, so she should never take lithium again
- DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
5.Trung bình
What is the main difference between disulfiram and naltrexone in alcohol dependence?
- ADisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
- BNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
- CBoth work in exactly the same way, so they are fully interchangeable
- DDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
6.Trung bình
A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?
- AThe patient will avoid contact with others until she feels more confident
- BThe patient will let staff make all her decisions while in hospital
- CThe patient will make small everyday decisions on her own
- DThe patient will move in with a relative who can make decisions for her
7.Khó
A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?
- AStay calm, acknowledge her worry and offer to help her look for it
- BTell her that her memory is the problem and that the purse is not stolen
- CIgnore the accusation and walk away until she forgets about it
- DInsist that nobody would steal from her
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?
- ADiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
- BTell him he must take it for life and refuse to discuss it
- 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. D · 6 months
- 2. C · Propranolol
- 3. D · Có thể khiến người bệnh cảm thấy bị phán xét và phòng thủ
- 4. D · These are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
- 5. D · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
- 6. C · The patient will make small everyday decisions on her own
- 7. A · Stay calm, acknowledge her worry and offer to help her look for it
- 8. A · Discuss benefits and risks, decide together with the prescriber and agree a relapse plan
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