1.Dễ
What is Russell's sign, seen in some patients with eating disorders?
- AFine, downy hair growing on the face and back
- BCalluses or scars on the back of the hand from inducing vomiting
- CSwelling of the ankles and feet during the first days of refeeding in hospital
- DYellowing of the skin from eating a lot of carrots
2.Dễ
Vì sao thiamine (vitamin B1) được cho người bệnh phụ thuộc rượu?
- AĐể phòng hoặc điều trị bệnh não Wernicke
- BĐể giảm thèm rượu
- CĐể điều trị xơ gan
- DĐể làm rượu có vị khó chịu
3.Dễ
Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?
- AFeeling detached from family and friends
- BAvoiding places that remind the person of the event
- CBeing easily startled by loud noises
- DFlashbacks of the traumatic event
4.Trung bình
How does aripiprazole differ from most other antipsychotics?
- AIt is a benzodiazepine with antipsychotic effects
- BIt needs weekly white blood cell counts for safety
- CIt has no effect on dopamine at all
- DIt is a partial agonist at dopamine D2 receptors
5.Trung bình
A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?
- A"You seem worried about what being here means. Can you tell me more?"
- B"Of course not. Only crazy people would ask that."
- C"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
- D"Yes, but you're in the right place now."
6.Trung bình
The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?
- AAn ideal therapeutic relationship
- BTransference by the patient towards the nurse, which is never the nurse's concern
- CThat the patient needs to be transferred to another unit
- DPossible boundary problems that she should discuss in supervision
7.Khó
An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?
- AReport the finding, review his eating pattern and suggest giving the medicine after breakfast
- BAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
- CIgnore it, because weight changes in children are always normal
- DStop the medicine immediately without telling the prescriber
8.Khó
Hai tuần sau khi bắt đầu SSRI, một người bệnh nói: "Thuốc này không có tác dụng. Tôi sẽ ngừng uống." Phản hồi tốt nhất là gì?
- AĐồng ý anh nên ngừng ngay, vì thuốc chống trầm cảm chưa giúp ích sau hai tuần thì khó có thể có tác dụng
- BGiải thích rằng thường cần vài tuần mới có tác dụng đầy đủ, khuyến khích anh tiếp tục và theo dõi khí sắc và an toàn của anh
- CNói với anh rằng thuốc chống trầm cảm không bao giờ có tác dụng
- DBảo anh gấp đôi liều
Đáp án
- 1. B · Calluses or scars on the back of the hand from inducing vomiting
- 2. A · Để phòng hoặc điều trị bệnh não Wernicke
- 3. D · Flashbacks of the traumatic event
- 4. D · It is a partial agonist at dopamine D2 receptors
- 5. A · "You seem worried about what being here means. Can you tell me more?"
- 6. D · Possible boundary problems that she should discuss in supervision
- 7. A · Report the finding, review his eating pattern and suggest giving the medicine after breakfast
- 8. B · Giải thích rằng thường cần vài tuần mới có tác dụng đầy đủ, khuyến khích anh tiếp tục và theo dõi khí sắc và an toàn của anh
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.