1.Dễ
Which early feature is most typical of frontotemporal dementia?
- AChanges in personality and behaviour, such as loss of inhibition
- BVisual hallucinations of people and animals
- CSevere memory loss as the very first symptom, with no change in behaviour
- DStepwise decline after a series of small strokes
2.Dễ
According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?
- AAt least 2 weeks
- BAt least 6 months
- CAt least 2 years
- DAt least 2 days
3.Dễ
Which medicine may be used to treat moderate serotonin syndrome?
- APhenelzine
- BCyproheptadine
- CSertraline
- DTramadol
4.Trung bình
Which communication approach is best for a patient with moderate dementia?
- AAsk several questions together to save time
- BUse short, simple sentences and give one instruction at a time
- CUse abstract language and long explanations so the patient feels respected
- DSpeak loudly and quickly so that the patient stays alert
5.Trung bình
A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?
- A"Of course, as long as you don't tell the other patients."
- B"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
- C"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
- D"That would be against the rules, so please stop asking about it."
6.Trung bình
Which goal for a patient with depression is written in a SMART way?
- A"The patient will be happier."
- B"The patient will feel better soon."
- C"The patient will improve her mood and sleep and start exercising more at some point."
- D"The patient will walk with staff for 15 minutes once a day by Friday."
7.Khó
A patient says, "My boss didn't say hello this morning, so she must think I'm useless." Which cognitive distortion is shown, and what is a helpful nursing response?
- APersonalisation; advise the patient to ask for a new manager
- BAll-or-nothing thinking; agree that the boss is being unfair
- CCatastrophising; tell the patient that she will definitely not be fired
- DMind reading; ask what other reasons there might be for the boss's behaviour
8.Khó
Ngay sau khi được tiêm haloperidol, đầu của một người bệnh vẹo sang một bên, mắt cố định nhìn lên và anh than cổ họng thấy thắt lại. Điều dưỡng nên làm gì trước tiên?
- ACho thêm một liều haloperidol
- BTrấn an anh rằng đó là lo lắng về thuốc mới và để anh nghỉ yên một mình
- CKhuyến khích anh vươn giãn cổ
- DGọi hỗ trợ y tế khẩn cấp và cho thuốc kháng cholinergic theo y lệnh, theo dõi đường thở
Đáp án
- 1. A · Changes in personality and behaviour, such as loss of inhibition
- 2. A · At least 2 weeks
- 3. B · Cyproheptadine
- 4. B · Use short, simple sentences and give one instruction at a time
- 5. B · "I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
- 6. D · "The patient will walk with staff for 15 minutes once a day by Friday."
- 7. D · Mind reading; ask what other reasons there might be for the boss's behaviour
- 8. D · Gọi hỗ trợ y tế khẩn cấp và cho thuốc kháng cholinergic theo y lệnh, theo dõi đường thở
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.