Užduočių lapas tema Psichikos sveikatos slauga su atsakymais

What is the main mechanism of action of antipsychotic medicines?

1. ABlocking the reuptake of serotonin only
2. BIncreasing the release of dopamine
3. CBlocking dopamine D₂ receptors
4. DStimulating GABA receptors in the brain

6 metų berniukas ligoninėje vėl pradeda čiulpti nykštį ir šlapintis į lovą. Koks tai gynybos mechanizmas?

1. AIntelektualizacija
2. BProjekcija
3. CRegresija
4. DSublimacija

Kuo psichinės būklės tyrime skiriasi nuotaika ir afektas?

1. ANuotaika – tai, ką pacientui nustato slaugytojas; afektas – tai, ką pacientas pasako jaučiantis
2. BNuotaika ir afektas reiškia visiškai tą patį
3. CNuotaika apibūdina mąstymą; afektas – atmintį
4. DNuotaika – tai, ką pacientas pasako jaučiantis; afektas – emocija, kurią stebi slaugytojas

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. AArrange for only the senior doctor to see him from now on
2. BAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
3. CRespond respectfully but firmly, and keep the same expectations as for other patients
4. DTell him that he is not as important as he thinks he is

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. BStop the clozapine immediately, because this is a sign of agranulocytosis
3. CTell him that it means the clozapine dose is too low and needs to be increased
4. DRecognise it as a common side effect, report it and suggest a towel on the pillow

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. ALet each nurse decide on the day whether to apply the rules
2. BGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
3. CChange the rules for this patient to avoid conflict
4. DState the rule and the consequence clearly, and make sure all staff apply it consistently

Which intervention is most appropriate for an older patient with delirium?

1. AProvide orientation cues, make sure glasses and hearing aids are used, and involve the family
2. BUse physical restraints at night to prevent falls
3. CKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
4. DMove the patient to a different room each day

A nurse teaches a family member how to use a naloxone kit. Which statement shows a need for further teaching?

1. A"Once I've given the naloxone, I don't need to call an ambulance."
2. B"I'll stay with him, because the overdose can come back."
3. C"I'll check his breathing and put him in the recovery position if he is breathing but still not awake."
4. D"If he doesn't respond, I may need to give a second dose."