Phiếu bài tập Điều dưỡng sức khỏe tâm thần có đáp án

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. ARegression
2. BReaction formation
3. CIntellectualisation
4. DDisplacement

Which personality disorders belong to Cluster A, the "odd or eccentric" cluster?

1. AAntisocial, borderline, histrionic and narcissistic
2. BParanoid, schizoid and schizotypal
3. CAvoidant, dependent and obsessive-compulsive
4. DBorderline, avoidant and paranoid

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. ARaised prolactin and breast enlargement
2. BWeight gain and raised blood glucose
3. CExtrapyramidal side effects such as dystonia and pseudoparkinsonism
4. DLow white blood cell count

Which activity is most suitable for a patient in an acute manic episode?

1. AA complicated board game such as chess with other patients
2. BA walk with a staff member
3. CA long group discussion in the day room
4. DA competitive team game of volleyball

Which postpartum presentation is a psychiatric emergency?

1. AConfusion, hallucinations and rapidly changing mood a few days after birth
2. BTearfulness and mood swings on the third day after birth
3. CTiredness and worry about feeding the baby in the first week
4. DFeeling tearful at times but enjoying the baby and sleeping well when she can

What is assertive community treatment (ACT)?

1. AIntensive team-based support at home for people with severe mental illness and frequent admissions
2. BA short course of assertiveness training for people with mild social anxiety
3. CA self-help group run entirely by former patients, without any professional staff or support at all
4. DCompulsory hospital treatment for people who refuse medicine

A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?

1. ATry to persuade her to adopt the nurse's own beliefs
2. BTell her that religion has no place in hospital care
3. CIgnore the request politely and change the subject to the procedure itself
4. DRespect the request, join in if comfortable, and offer to call the chaplain

Two days after surgery, a 79-year-old woman is quiet and drowsy, stares into space and gives muddled answers that vary through the day. Her daughter says she was sharp before. What is most likely?

1. AHypoactive delirium
2. BNormal tiredness after anaesthesia
3. CDepression after surgery
4. DAdvanced dementia