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

A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?

1. AVoicing doubt
2. BPresenting reality
3. CGiving recognition
4. DGiving approval

What is the main mechanism of action of antipsychotic medicines?

1. ABlocking dopamine D₂ receptors
2. BBlocking the reuptake of serotonin only
3. CIncreasing the release of dopamine
4. DStimulating GABA receptors in the brain

What is anhedonia?

1. AAn inability to fall asleep at night despite feeling very tired during the day
2. BLoss of interest or pleasure in activities that were enjoyed before
3. CRapid, pressured speech that is hard to interrupt
4. DA belief that one's body is diseased or rotting

A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?

1. AA high serum potassium
2. BA low serum cholesterol
3. CA high haemoglobin
4. DA low serum sodium

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Everyone feels that way sometimes."
2. B"Let's talk about something more cheerful."
3. C"Tell me more about what that feeling is like for you."
4. D"You shouldn't say things like that."

What must a patient be told for consent to a new psychotropic medicine to be valid?

1. AThe expected benefits, the main risks and the alternatives, including no treatment
2. BNothing at all, because psychiatric patients cannot give consent
3. COnly the benefits, so that the patient is not frightened by the side effects
4. DOnly the name of the medicine and the time of day it will be given

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. AIt means she has delirium and needs urgent tests
2. BIt proves she has severe major depression with psychosis
3. CBrief experiences like this can be part of normal grief
4. DIt is a sign of schizophrenia that needs antipsychotic medicine

A man with gambling disorder has lost his savings and has large debts. He tells the nurse, "My family would be better off without me." What should the nurse do?

1. AChange the subject to his gambling triggers and how to avoid the betting shop
2. BFocus only on helping him create a budget
3. CReassure him that his family will forgive him
4. DAsk directly about suicidal thoughts and plans, and assess his risk