Primeira página
/
Saúde
/
BOOKLET CODE:012 SUBJECT CODE: 02 12 47. A 17-year-old boy gets 5 mg of haloperido to control his aggression. After an hour of his first injection, he starts to experience brief contractions of muscles that result in obviously abnormal movements,tongue protrusion and difficulty of swallowing. What is the most likely diagnosis of the above patient? (C) Parkinsonism (A) Dystonia (D) Epilepsy (B) Akathesia A 19-year-old married woman, recently diagnosed with bipolar I disorder manic episode, came to a clinic crying loudly. Her nose bleed and there is visible laceration on her face. Her mother reports that her husband has beaten her due to her unacceptable behavior with other man. What is the priority nursing action for the above case? (A) Tell her she has to avoid such behavior in the future (B) Report to legal service unit for necessary investigation (C) Stop bleeding and reassure her she will be safe at hospital (D) Calm the patient and call her husband for further communication 49. A 65-year-old patient from middle income family, with a diagnosis of dementia, was brought to a clinic by his daughter. She reports that despite she has been giving prescribed medication timely, his behavior is becoming worse. Currently, he lives alone and smokes three pieces of cigarette/day. What is the best predictor of risk for poor adherence in this patient? (A) Income (C) Substance use (B) No insight (D) Forgetfulness 50. A 55-year-old woman came to a clinic for psychiatric evaluation. At the start of the interview, she focuses on issues that the nurse consider irrelevant. What is the next best step that the nurse should follow? (A) Ask her if she understood what he is asking her (B) Guide the patient to come to direction of his point (C) Tell her he will give another time to talk the details (D) Listen for a while even things he doesn't want to hear

Pergunta

BOOKLET CODE:012 SUBJECT CODE: 02 12 47. A 17-year-old boy gets 5 mg of haloperido to control his aggression. After an hour of his first injection, he starts to experience brief contractions of muscles that result in obviously abnormal movements,tongue protrusion and difficulty of swallowing. What is the most likely diagnosis of the above patient? (C) Parkinsonism (A) Dystonia (D) Epilepsy (B) Akathesia A 19-year-old married woman, recently diagnosed with bipolar I disorder manic episode, came to a clinic crying loudly. Her nose bleed and there is visible laceration on her face. Her mother reports that her husband has beaten her due to her unacceptable behavior with other man. What is the priority nursing action for the above case? (A) Tell her she has to avoid such behavior in the future (B) Report to legal service unit for necessary investigation (C) Stop bleeding and reassure her she will be safe at hospital (D) Calm the patient and call her husband for further communication 49. A 65-year-old patient from middle income family, with a diagnosis of dementia, was brought to a clinic by his daughter. She reports that despite she has been giving prescribed medication timely, his behavior is becoming worse. Currently, he lives alone and smokes three pieces of cigarette/day. What is the best predictor of risk for poor adherence in this patient? (A) Income (C) Substance use (B) No insight (D) Forgetfulness 50. A 55-year-old woman came to a clinic for psychiatric evaluation. At the start of the interview, she focuses on issues that the nurse consider irrelevant. What is the next best step that the nurse should follow? (A) Ask her if she understood what he is asking her (B) Guide the patient to come to direction of his point (C) Tell her he will give another time to talk the details (D) Listen for a while even things he doesn't want to hear

BOOKLET CODE:012 SUBJECT CODE: 02 12 47. A 17-year-old boy gets 5 mg of haloperido to control his aggression. After an hour of his first injection, he starts to experience brief contractions of muscles that result in obviously abnormal movements,tongue protrusion and difficulty of swallowing. What is the most likely diagnosis of the above patient? (C) Parkinsonism (A) Dystonia (D) Epilepsy (B) Akathesia A 19-year-old married woman, recently diagnosed with bipolar I disorder manic episode, came to a clinic crying loudly. Her nose bleed and there is visible laceration on her face. Her mother reports that her husband has beaten her due to her unacceptable behavior with other man. What is the priority nursing action for the above case? (A) Tell her she has to avoid such behavior in the future (B) Report to legal service unit for necessary investigation (C) Stop bleeding and reassure her she will be safe at hospital (D) Calm the patient and call her husband for further communication 49. A 65-year-old patient from middle income family, with a diagnosis of dementia, was brought to a clinic by his daughter. She reports that despite she has been giving prescribed medication timely, his behavior is becoming worse. Currently, he lives alone and smokes three pieces of cigarette/day. What is the best predictor of risk for poor adherence in this patient? (A) Income (C) Substance use (B) No insight (D) Forgetfulness 50. A 55-year-old woman came to a clinic for psychiatric evaluation. At the start of the interview, she focuses on issues that the nurse consider irrelevant. What is the next best step that the nurse should follow? (A) Ask her if she understood what he is asking her (B) Guide the patient to come to direction of his point (C) Tell her he will give another time to talk the details (D) Listen for a while even things he doesn't want to hear

Solução

expert verifiedVerification of experts
4.6246 Voting
avatar
JoaquimVeterano · Tutor por 11 anos

Responder

47. The correct answer is (A) Dystonia. The symptoms described, such as brief contractions of muscles, abnormal movements, tongue protrusion, and difficulty swallowing, are characteristic of dystonia, which is a type of movement disorder. Dystonia can be a side effect of certain medications, including haloperidol.<br /><br />48. The correct answer is (C) Stop bleeding and reassure her she will be safe at hospital. The priority in this situation is to address the immediate physical harm and ensure the patient's safety. Once the patient is physically stable, further steps can be taken to address the underlying psychological and social issues.<br /><br />49. The correct answer is (D) Forgetfulness. Forgetfulness is a common predictor of poor adherence to medication in patients with dementia. The patient may forget to take their medication or may not understand the importance of taking it regularly. Other factors, such as substance use and lack of insight, can also contribute to poor adherence, but forgetfulness is the most significant predictor in this case.<br /><br />50. The correct answer is (B) Guide the patient to come to direction of his point. When a patient focuses on irrelevant issues during a psychiatric evaluation, it is important to gently guide them back to the topic of the interview. This can be done by asking open-ended questions or providing gentle redirection. It is important to approach the situation with empathy and understanding, as the patient may be experiencing anxiety or other emotional distress.
Clique para avaliar: