1.Dễ
Which signs suggest acute cocaine intoxication?
- ASlurred speech, an unsteady gait and a strong smell of alcohol on the breath
- BRed eyes, increased appetite, dry mouth and slowed reactions
- CDilated pupils, a fast heart rate and high blood pressure
- DPinpoint pupils, slow breathing and drowsiness
2.Dễ
Which phrase uses person-first language that helps reduce stigma?
- A"A person with schizophrenia"
- B"A mental case"
- C"A psycho"
- D"A schizophrenic patient"
3.Dễ
Which group of features is typical of dementia with Lewy bodies?
- AEarly personality change and loss of social inhibition
- BSudden step-by-step decline after small strokes
- CMemory loss only, with no other symptoms or changes in alertness for many years
- DFluctuating alertness, detailed visual hallucinations and parkinsonism
4.Trung bình
Một người bệnh dùng từ "glimpotrance" và giải thích rằng đó là sức mạnh điều khiển suy nghĩ của anh. Đây là gì?
- ANói vòng vo
- BLiên tưởng vần điệu
- CTừ mới tự tạo (neologism)
- DNhại lời
5.Trung bình
A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?
- A"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
- B"What does the man in the corner look like?"
- C"I don't see anyone in the corner, but I know it seems real to you."
- D"The man will go away if you ignore him."
6.Trung bình
According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?
- AAt least 6 months, including at least 1 month of active symptoms
- BAt least 1 month, with no further time required
- CAt least 2 weeks of continuous symptoms
- DAt least 2 years, including 6 months of active symptoms
7.Khó
A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?
- AHold your breath for as long as possible while lying completely still on the floor
- BTense each muscle group in turn for a few seconds, then let go and notice the difference
- CDo the exercise only during a panic attack, never at other times
- DTense all your muscles at once and keep them tight for 10 minutes
8.Khó
Một người bệnh dùng olanzapine tăng 8 kg trong 3 tháng và báo khát nước và đi tiểu nhiều. Điều dưỡng nên làm gì?
- ANgừng olanzapine ngay mà không báo cho người kê đơn
- BSắp xếp xét nghiệm đường huyết và báo cho người kê đơn
- CTrấn an anh rằng điều này không liên quan đến thuốc
- DKhuyên anh uống ít nước hơn
Đáp án
- 1. C · Dilated pupils, a fast heart rate and high blood pressure
- 2. A · "A person with schizophrenia"
- 3. D · Fluctuating alertness, detailed visual hallucinations and parkinsonism
- 4. C · Từ mới tự tạo (neologism)
- 5. C · "I don't see anyone in the corner, but I know it seems real to you."
- 6. A · At least 6 months, including at least 1 month of active symptoms
- 7. B · Tense each muscle group in turn for a few seconds, then let go and notice the difference
- 8. B · Sắp xếp xét nghiệm đường huyết và báo cho người kê đơn
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