1.Dễ
In a mental status examination, what does assessing orientation check?
- AWhether the patient's mood matches the facial expression and tone of voice
- BWhether the patient understands that they are ill and needs treatment for it
- CWhether the patient can interpret proverbs and explain their meaning
- DWhether the patient knows the time, the place and who they are
2.Dễ
A patient believes that the newsreader on television is sending him personal messages. What is this called?
- AAn idea of reference
- BAn illusion
- CThought insertion
- DA somatic delusion
3.Dễ
How is lithium mainly removed from the body?
- AThrough the skin, in sweat only
- BBy the liver, in the bile
- CThrough the lungs, in the breath
- DBy the kidneys, in the urine
4.Trung bình
Khoảng lithium huyết thanh nào thường được nêu là khoảng điều trị duy trì?
- AKhoảng 0,01 đến 0,05 mmol/L
- BKhoảng 3,5 đến 5,0 mmol/L
- CKhoảng 0,6 đến 1,2 mmol/L (khoảng mục tiêu khác nhau giữa các hướng dẫn)
- DKhoảng 2,0 đến 3,0 mmol/L (cần nồng độ cao hơn cho hưng cảm cấp)
5.Trung bình
An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?
- AA sudden onset of Alzheimer's disease
- BA first episode of schizophrenia caused by moving into the home
- CAn infection such as a urinary tract infection, or a medicine side effect
- DThe normal ageing process
6.Trung bình
A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?
- AAsk her to name things she can see, hear and touch in the room right now
- BAsk her to describe the traumatic event in as much detail as she can
- CLeave her alone until the episode has passed on its own
- DAsk her to close her eyes and think back to the worst moment of the trauma
7.Khó
A 15-year-old tells the school nurse she has been cutting herself and asks her not to tell her parents. What is the best response?
- APromise never to tell anyone about it, so that she keeps trusting the school nurse
- BPhone her parents at once without telling her
- CExplain that safety information must be shared, and involve her in how this is done
- DTell her that cutting is a phase that many teenagers go through and it needs no help
8.Khó
For the last 3 years a man has had frequent periods of mildly raised mood and periods of low mood. None has been severe enough to count as hypomania or a major depressive episode. Which diagnosis fits best?
- ABipolar II disorder
- BBipolar I disorder
- CMajor depressive disorder
- DCyclothymic disorder
Đáp án
- 1. D · Whether the patient knows the time, the place and who they are
- 2. A · An idea of reference
- 3. D · By the kidneys, in the urine
- 4. C · Khoảng 0,6 đến 1,2 mmol/L (khoảng mục tiêu khác nhau giữa các hướng dẫn)
- 5. C · An infection such as a urinary tract infection, or a medicine side effect
- 6. A · Ask her to name things she can see, hear and touch in the room right now
- 7. C · Explain that safety information must be shared, and involve her in how this is done
- 8. D · Cyclothymic disorder
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