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

Why are benzodiazepines used with caution in older adults?

1. AThey raise blood pressure to dangerous levels after a single dose
2. BThey have no effect on the brain in older people
3. CThey increase the risk of confusion, falls and fractures
4. DThey cause rapid weight gain and diabetes in all older adults

A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?

1. ADefending
2. BReflecting
3. CSeeking clarification
4. DOffering self

What is separation anxiety disorder in a child?

1. ANormal crying when a baby meets a stranger for the first time
2. BA lack of interest in parents and other close carers, with no distress when they leave
3. CExcessive, developmentally inappropriate fear of being apart from attachment figures
4. DFear of social situations in which other children may laugh at them

A patient at risk of suicide is admitted. Which environmental check is most important?

1. AMake sure the patient has a television in the room
2. BLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home
3. CRemove items that could be used for self-harm, such as belts, cords and sharp objects
4. DPlace the patient in a room at the end of the corridor for privacy

A woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?

1. AAcute stress disorder
2. BAdjustment disorder with anxiety
3. CPost-traumatic stress disorder
4. DGeneralised anxiety disorder

What is the CIWA-Ar scale used for?

1. AMeasuring the risk of falls in hospital
2. BScreening for dementia in older adults
3. CRating the severity of alcohol withdrawal to guide treatment
4. DMeasuring the depth of sedation in patients on a ventilator in intensive care

Một người bệnh yêu cầu điều dưỡng hứa không nói với ai rằng chị đang định tự tử. Phản hồi tốt nhất là gì?

1. AHứa giữ bí mật để chị tiếp tục nói chuyện và tin tưởng bạn, đồng thời không ghi vào hồ sơ hay báo cho ê-kíp
2. BĐổi chủ đề
3. CGiải thích nhẹ nhàng rằng bạn không thể giữ bí mật này vì sự an toàn của chị quan trọng, và bạn cần chia sẻ với ê-kíp
4. DNói với chị rằng bạn sẽ suy nghĩ

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. ATell him to go home now and come back tomorrow morning when he feels calmer and safer
2. BLet him leave, because voluntary patients can always go when they want
3. CStay with him and inform the team at once, so he can be urgently assessed under mental health law
4. DAsk him to promise that he will not jump, and then let him go home on his own