Phiếu bài tập Điều dưỡng sức khỏe tâm thần có đáp án

Một người đàn ông bị thu hút bởi một đồng nghiệp buộc tội vợ mình muốn ngoại tình. Đây là cơ chế phòng vệ nào?

1. AThoái lui
2. BKìm nén
3. CPhóng chiếu
4. DHợp lý hóa

Một sinh viên thi trượt nói: "Câu hỏi không công bằng, nên không quan trọng." Đây là cơ chế phòng vệ nào?

1. AĐồng nhất hóa
2. BChuyển đổi
3. CĐè nén
4. DHợp lý hóa

The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?

1. AGiving advice
2. BPlacing the event in sequence
3. COffering self
4. DPresenting reality

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. AAgranulocytosis
2. BSerotonin syndrome
3. CHypertensive crisis from tyramine
4. DLithium toxicity

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AIbuprofen will make the sertraline work faster
2. BThe combination is completely safe because they act on different systems
3. CIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
4. DThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. AThe two drugs together cause severe hair growth
2. BLamotrigine will lower the valproate level until it has no effect
3. CValproate raises lamotrigine levels, which increases the risk of a serious rash
4. DValproate makes lamotrigine work faster, so the dose must be increased quickly

Which patient has the highest risk of suicide?

1. AA 72-year-old widowed man with alcohol dependence who has a gun at home and a plan
2. BA 20-year-old student with exam stress who has no thoughts of suicide and good friends
3. CA 30-year-old woman with mild anxiety who has a supportive family
4. DA 45-year-old man with well-controlled hypertension who works full time

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
2. BHaloperidol will make his hallucinations more frequent
3. CThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
4. DHaloperidol does not work in older patients at all