1.Dễ
According to DSM-5, generalised anxiety disorder involves excessive worry on more days than not for at least how long?
- A1 month
- B2 weeks
- C2 years
- D6 months
2.Dễ
Which side effects are typical of mirtazapine?
- APriapism and a dry cough
- BHigh blood pressure and tremor
- CInsomnia, agitation and weight loss
- DSedation and increased appetite with weight gain
3.Dễ
Cơ chế phòng vệ nào được coi là lành mạnh và trưởng thành?
- AChia tách: nhìn người khác hoặc hoàn toàn tốt hoặc hoàn toàn xấu
- BThăng hoa: chuyển cảm xúc hung hãn vào một môn thể thao
- CPhủ nhận: từ chối chấp nhận chẩn đoán nhiều tháng
- DPhóng chiếu: đổ lỗi cho người khác về cảm xúc của chính mình
4.Trung bình
A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?
- AThese are signs of an allergic reaction, so she should never take lithium again
- BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
- CThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
- DThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
5.Trung bình
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
- APersecutory
- BNihilistic
- CErotomanic
- DGrandiose
6.Trung bình
When is the best time to teach a patient with an anxiety disorder a relaxation technique?
- AOnly after the patient has been discharged from hospital
- BWhen the patient's anxiety is severe, so that the effect can be seen clearly
- CWhen the patient's anxiety is at a mild level
- DDuring a panic attack, when the patient needs it most
7.Khó
A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?
- AAssess her anxiety each time, offer other coping strategies and give it if indicated
- BGive her a placebo tablet instead, without telling her, to see whether she really needs it
- CRefuse to give it, because she might become dependent
- DAlways give it as soon as she asks, without assessment
8.Khó
A nurse is teaching a patient who has started haloperidol for schizophrenia. Which statement shows a need for further teaching?
- A"I'll avoid alcohol while I'm taking this medicine."
- B"I should tell the nurse if my neck or jaw muscles feel stiff."
- C"I can stop taking it as soon as the voices go away."
- D"I should get up slowly if I feel dizzy."
Đáp án
- 1. D · 6 months
- 2. D · Sedation and increased appetite with weight gain
- 3. B · Thăng hoa: chuyển cảm xúc hung hãn vào một môn thể thao
- 4. C · These are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
- 5. B · Nihilistic
- 6. C · When the patient's anxiety is at a mild level
- 7. A · Assess her anxiety each time, offer other coping strategies and give it if indicated
- 8. C · "I can stop taking it as soon as the voices go away."
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