1.Dễ
How does binge-eating disorder differ from bulimia nervosa?
- ABinges happen only once a year, so they are not a problem
- BThe person always has a very low body weight and a fear of gaining weight
- CThe person never feels a loss of control while eating
- DThere are no regular compensatory behaviours, such as vomiting or laxative use
2.Dễ
Which statement about self-disclosure by the nurse is correct?
- AIt is never allowed in any situation
- BIt is helpful when the nurse shares personal problems in detail
- CIt should be brief, rare and used only to help the patient
- DIt should be used often to build friendship with the patient
3.Dễ
Which pattern of decline is typical of vascular dementia?
- AVery gradual and steady from the start, without sudden changes
- BStepwise, with sudden worsening after each new vascular event
- CComplete recovery within a few weeks
- DRapid improvement after starting antipsychotic medicine
4.Trung bình
Tác dụng không mong muốn nghiêm trọng nào liên quan đến carbamazepine?
- ASụt cân nhanh
- BChỉ mọc lông và phì đại lợi, vốn chủ yếu là vấn đề thẩm mỹ
- CRối loạn máu như mất bạch cầu hạt, và phản ứng da nặng
- DGiảm thính lực
5.Trung bình
A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?
- AThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
- BThe patient can be left alone while asleep
- CA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
- DThe patient is checked every hour during the day only
6.Trung bình
A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?
- AGive her a lot of extra attention for the rest of the day
- BTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
- CScold her for breaking the ward rules and remove all her privileges
- DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
7.Khó
The parent of a child recently diagnosed with autism asks, "Did his vaccines cause this?" What is the most accurate response?
- A"Large studies have found no link between vaccines and autism."
- B"We don't know, so it is best to stop all of his other vaccines."
- C"Autism is caused by cold and distant parenting styles in early childhood."
- D"Yes, the MMR vaccine is a proven cause of autism."
8.Khó
A woman taking carbamazepine for bipolar disorder uses an oral contraceptive pill. What should the nurse teach?
- AThe two drugs do not interact in any way
- BCarbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
- CCarbamazepine increases the effect of the pill, so she can take it every other day
- DShe should take the pill and the carbamazepine at exactly the same time each day so that both of them stay fully effective
Đáp án
- 1. D · There are no regular compensatory behaviours, such as vomiting or laxative use
- 2. C · It should be brief, rare and used only to help the patient
- 3. B · Stepwise, with sudden worsening after each new vascular event
- 4. C · Rối loạn máu như mất bạch cầu hạt, và phản ứng da nặng
- 5. C · A staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
- 6. B · Treat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
- 7. A · "Large studies have found no link between vaccines and autism."
- 8. B · Carbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
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