1.Dễ
What is countertransference?
- AThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
- BThe patient repeating the nurse's words and gestures without understanding their meaning
- CThe transfer of a patient's care to another nurse at the end of a shift
- DThe patient's feelings towards the nurse, based on earlier relationships
2.Dễ
A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?
- ABlunted
- BLabile
- CFlat
- DCongruent
3.Dễ
A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?
- AHistrionic
- BAvoidant
- CSchizoid
- DParanoid
4.Trung bình
A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?
- A"Tell me more about what that feeling is like for you."
- B"Everyone feels that way sometimes."
- C"You shouldn't say things like that."
- D"Let's talk about something more cheerful."
5.Trung bình
What is the main difference between disulfiram and naltrexone in alcohol dependence?
- ANaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
- BDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
- CDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
- DBoth work in exactly the same way, so they are fully interchangeable
6.Trung bình
Một người bệnh trả lời câu hỏi về bữa sáng: "Trứng đến từ gà, gà sống ở nông trại, chú tôi có một nông trại, chú lái chiếc máy kéo đỏ…" và không bao giờ trả lời. Đây gọi là gì?
- ANói vòng vo (circumstantiality)
- BLời nói lộn xộn (word salad)
- CTư duy bị chặn
- DNói lạc đề (tangentiality)
7.Khó
A patient who was admitted after a serious suicide attempt says, "I'm angry they saved me. Next time I'll do it properly." What should the nurse do?
- AChange the subject to something more positive, such as his family and his plans for after discharge
- BTell him that he should be grateful to be alive and think about how his family would feel
- CReduce observation because he is talking openly about his feelings
- DMaintain close observation, report the statement and reassess the risk with the team
8.Khó
While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?
- AIgnore her own reaction, because the nurse's feelings do not matter in patient care
- BLeave the patient immediately and not return
- CRecognise that anxiety spreads between people, and calm herself first
- DMatch the patient's level of anxiety to show empathy
Đáp án
- 1. A · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
- 2. B · Labile
- 3. A · Histrionic
- 4. A · "Tell me more about what that feeling is like for you."
- 5. B · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
- 6. D · Nói lạc đề (tangentiality)
- 7. D · Maintain close observation, report the statement and reassess the risk with the team
- 8. C · Recognise that anxiety spreads between people, and calm herself first
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