1.Dễ
After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?
- AProjection
- BDenial
- CUndoing
- DSublimation
2.Dễ
Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?
- AExtrapyramidal side effects such as dystonia and pseudoparkinsonism
- BLow white blood cell count
- CWeight gain and raised blood glucose
- DRaised prolactin and breast enlargement
3.Dễ
Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?
- ALithium
- BDantrolene
- CHaloperidol
- DFluoxetine
4.Trung bình
What should a patient starting zolpidem for insomnia be taught to report?
- AFeeling sleepy about 30 minutes after taking it at bedtime
- BFeeling slightly more rested and alert the next morning than before starting the medicine
- CSleeping through the night without waking up
- DDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
5.Trung bình
What is the CIWA-Ar scale used for?
- AScreening for dementia in older adults
- BMeasuring the risk of falls in hospital
- CMeasuring the depth of sedation in patients on a ventilator in intensive care
- DRating the severity of alcohol withdrawal to guide treatment
6.Trung bình
Theo dõi nào quan trọng với người bệnh bắt đầu dùng valproate?
- AChức năng gan và dấu hiệu viêm tụy, và tư vấn về nguy cơ khi mang thai
- BChỉ nhãn áp
- CChức năng phổi và chụp X-quang ngực định kỳ, vì nguy cơ xơ phổi
- DKiểm tra thính lực
7.Khó
A patient with an anxiety disorder speaks so quickly about her worries that the nurse cannot follow. Which response is most helpful?
- A"There's really nothing to worry about, so just try to relax."
- B"You're talking too fast, so we'll have to stop for today."
- C"Let me tell you what I think your problem is, and then we can talk."
- D"Let's slow down and talk about one thing at a time. What worries you most right now?"
8.Khó
A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?
- AGive her a placebo tablet instead, without telling her, to see whether she really needs it
- BRefuse to give it, because she might become dependent
- CAssess her anxiety each time, offer other coping strategies and give it if indicated
- DAlways give it as soon as she asks, without assessment
Đáp án
- 1. C · Undoing
- 2. A · Extrapyramidal side effects such as dystonia and pseudoparkinsonism
- 3. B · Dantrolene
- 4. D · Doing things while not fully awake, such as sleepwalking or driving, with no memory of it
- 5. D · Rating the severity of alcohol withdrawal to guide treatment
- 6. A · Chức năng gan và dấu hiệu viêm tụy, và tư vấn về nguy cơ khi mang thai
- 7. D · "Let's slow down and talk about one thing at a time. What worries you most right now?"
- 8. C · Assess her anxiety each time, offer other coping strategies and give it if indicated
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