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

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AAvoidant, dependent and obsessive-compulsive
2. BHistrionic, dependent and schizoid
3. CParanoid, schizoid and schizotypal
4. DAntisocial, borderline, histrionic and narcissistic

The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?

1. AImmediate memory
2. BOrientation
3. CAbstract thinking
4. DLevel of consciousness

What is trichotillomania?

1. AA fear of hair, combs and hairdressers
2. BHair loss caused by lithium treatment
3. CRepeatedly pulling out one's own hair, leading to hair loss
4. DA fungal infection of the scalp that is common in people with OCD

Which preparation is usual before electroconvulsive therapy (ECT)?

1. AStopping all regular medicines for 2 weeks before the first treatment
2. BEating a large meal to prevent low blood sugar during the seizure
3. CFasting for several hours, because a brief general anaesthetic is given
4. DNo preparation, because the patient stays fully awake during ECT

Which measurement should be monitored regularly in a patient taking venlafaxine?

1. AVisual acuity
2. BSerum lithium level
3. CBlood pressure
4. DPeak expiratory flow

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. AExplain that it is a sign of an allergic reaction to the medicine
2. BTell him that it means the clozapine dose is too low and needs to be increased
3. CStop the clozapine immediately, because this is a sign of agranulocytosis
4. DRecognise it as a common side effect, report it and suggest a towel on the pillow

An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?

1. ATell him that he is being silly and must go
2. BAllow him to stay at home until he wants to go back
3. CSupport a gradual, planned return to school with a consistent goodbye routine
4. DLet a parent stay with him in class every day for the rest of the year

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. ARefuse to give it, because she might become dependent
2. BGive her a placebo tablet instead, without telling her, to see whether she really needs it
3. CAlways give it as soon as she asks, without assessment
4. DAssess her anxiety each time, offer other coping strategies and give it if indicated