1.Dễ
A patient smiles and laughs while describing the death of her son. How is this affect described?
- ARestricted but appropriate
- BEuthymic
- CIncongruent
- DCongruent
2.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 làm việc đánh giá ngắn hơn
- CChúng quá mở
- DCó thể khiến người bệnh cảm thấy bị phán xét và phòng thủ
3.Dễ
Ảo giác là gì?
- AMột tri giác cảm giác khi không có kích thích bên ngoài
- BMột niềm tin sai lầm cố định
- CHiểu sai một kích thích có thật
- DChuyển chủ đề nhanh
4.Trung bình
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
- ADrink a cup of strong coffee before getting out of bed each morning
- BStop the medicine if the dizziness happens more than once
- CSit on the edge of the bed for a moment and then stand up slowly
- DGet up quickly to get the blood flowing to the brain
5.Trung bình
Which question is the best way to ask a patient about suicidal thoughts?
- A"You're not thinking of doing anything silly, are you?"
- B"You wouldn't hurt yourself, would you?"
- C"Are you having thoughts of killing yourself?"
- D"Things aren't that bad, are they?"
6.Trung bình
A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?
- AAbout 6–24 hours after the last drink
- BAbout 2–3 weeks after the last drink
- COnly after 7 days without alcohol
- DWithin 5 minutes of the last drink
7.Khó
The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?
- ATell the parents that they caused his illness
- BDischarge him to live alone in a flat, without any support from his family or the team
- CAdvise the parents to stop all contact with their son
- DFamily psychoeducation and help to communicate with less criticism
8.Khó
A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?
- ATell the patient that he reminds her of her father
- BAvoid the patient and let other staff do all of his care
- CIgnore the feeling, because feelings do not affect nursing care
- DRecognise this as countertransference and discuss it in clinical supervision
Đáp án
- 1. C · Incongruent
- 2. D · Có thể khiến người bệnh cảm thấy bị phán xét và phòng thủ
- 3. A · Một tri giác cảm giác khi không có kích thích bên ngoài
- 4. C · Sit on the edge of the bed for a moment and then stand up slowly
- 5. C · "Are you having thoughts of killing yourself?"
- 6. A · About 6–24 hours after the last drink
- 7. D · Family psychoeducation and help to communicate with less criticism
- 8. D · Recognise this as countertransference and discuss it in clinical supervision
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