1.Dễ
A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?
- AAphasia
- BAgnosia
- CAtaxia
- DApraxia
2.Dễ
Sảng (delirium) thường khác sa sút trí tuệ (dementia) như thế nào?
- ASảng khởi phát đột ngột và dao động; sa sút trí tuệ phát triển từ từ qua nhiều tháng hoặc nhiều năm
- BChúng là cùng một bệnh
- CSa sút trí tuệ luôn khởi phát đột ngột
- DSảng phát triển chậm qua nhiều năm; sa sút trí tuệ khởi phát đột ngột và dao động từng giờ
3.Dễ
What is anhedonia?
- ALoss of interest or pleasure in activities that were enjoyed before
- BAn inability to fall asleep at night despite feeling very tired during the day
- CA belief that one's body is diseased or rotting
- DRapid, pressured speech that is hard to interrupt
4.Trung bình
Which goal for a patient with depression is written in a SMART way?
- A"The patient will be happier."
- B"The patient will feel better soon."
- C"The patient will walk with staff for 15 minutes once a day by Friday."
- D"The patient will improve her mood and sleep and start exercising more at some point."
5.Trung bình
Which feature helps distinguish normal grief from major depression?
- AIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died
- BGrief always lasts less than 2 weeks
- CIn grief, the person feels worthless and hopeless all the time
- DIn grief, painful feelings come in waves and self-esteem is usually kept
6.Trung bình
A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?
- ASerotonin syndrome
- BHyperthyroidism
- CHypothyroidism
- DAgranulocytosis
7.Khó
A patient says, "My boss didn't say hello this morning, so she must think I'm useless." Which cognitive distortion is shown, and what is a helpful nursing response?
- APersonalisation; advise the patient to ask for a new manager
- BMind reading; ask what other reasons there might be for the boss's behaviour
- CCatastrophising; tell the patient that she will definitely not be fired
- DAll-or-nothing thinking; agree that the boss is being unfair
8.Khó
A patient in a mental health unit asks to read his own health records. What is the correct general principle?
- APsychiatric patients are never allowed to see their records
- BThe nurse should give him the records immediately without following any procedure
- CPatients generally have a right of access, with limited exceptions to prevent serious harm
- DOnly his family can request access to his records on his behalf
Đáp án
- 1. A · Aphasia
- 2. A · Sảng khởi phát đột ngột và dao động; sa sút trí tuệ phát triển từ từ qua nhiều tháng hoặc nhiều năm
- 3. A · Loss of interest or pleasure in activities that were enjoyed before
- 4. C · "The patient will walk with staff for 15 minutes once a day by Friday."
- 5. D · In grief, painful feelings come in waves and self-esteem is usually kept
- 6. C · Hypothyroidism
- 7. B · Mind reading; ask what other reasons there might be for the boss's behaviour
- 8. C · Patients generally have a right of access, with limited exceptions to prevent serious harm
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