1.Dễ
Which feature is typical of Korsakoff syndrome?
- AA flapping tremor of the hands caused by liver failure
- BFever, rigidity and a high creatine kinase
- CPinpoint pupils and slow breathing
- DSevere memory loss with confabulation
2.Dễ
What is trichotillomania?
- AHair loss caused by lithium treatment
- BA fungal infection of the scalp that is common in people with OCD
- CRepeatedly pulling out one's own hair, leading to hair loss
- DA fear of hair, combs and hairdressers
3.Dễ
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
- APsychomotor agitation
- BAkathisia
- CPsychomotor retardation
- DCatatonic excitement
4.Trung bình
A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?
- ANihilistic
- BGrandiose
- CSomatic
- DErotomanic
5.Trung bình
Which treatment is recommended first-line for chronic insomnia in adults?
- ALong-term daily benzodiazepines
- BCognitive behavioural therapy for insomnia (CBT-I)
- CStaying in bed for longer each morning
- DDrinking alcohol in the evening to fall asleep
6.Trung bình
A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?
- AYoung children often do not yet see death as permanent, so simple, honest words help
- BThe child does not care about her grandmother and has not been affected by the death
- CThe child is in denial and needs psychiatric treatment
- DThe child should not be told anything about the death until she is older
7.Khó
A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?
- AHaloperidol does not work in older patients at all
- BThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
- CHaloperidol will make his hallucinations more frequent
- DThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
8.Khó
A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?
- AAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
- BAsking the assistant to help a patient with personal hygiene
- CAsking the assistant to sit with a calm patient during a group art activity and report any concerns
- DAsking the assistant to take routine vital signs of a stable patient
Đáp án
- 1. D · Severe memory loss with confabulation
- 2. C · Repeatedly pulling out one's own hair, leading to hair loss
- 3. C · Psychomotor retardation
- 4. B · Grandiose
- 5. B · Cognitive behavioural therapy for insomnia (CBT-I)
- 6. A · Young children often do not yet see death as permanent, so simple, honest words help
- 7. B · These patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
- 8. A · Asking the assistant to decide whether a patient needs a second dose of a PRN sedative
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