Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
What is trichotillomania?
ARepeatedly pulling out one's own hair, leading to hair loss
BA fungal infection of the scalp that is common in people with OCD
CA fear of hair, combs and hairdressers
DHair loss caused by lithium treatment
2.Лёгкая
В чём различие между настроением и аффектом при исследовании психического статуса?
AНастроение — то, что пациент сообщает о своих чувствах; аффект — эмоция, которую наблюдает медсестра
BНастроение и аффект означают абсолютно одно и то же
CНастроение описывает мышление; аффект описывает память
DНастроение — то, что наблюдает медсестра у пациента; аффект — то, что пациент сообщает о своих чувствах
3.Лёгкая
Which statement about nicotine replacement therapy is correct?
AIt contains tar and carbon monoxide in smaller amounts than cigarettes
BIt must never be combined, for example a patch with gum
CIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
DIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings
4.Средняя
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
APersecutory
BNihilistic
CErotomanic
DGrandiose
5.Средняя
A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?
ARespond with similar comments to build rapport
BAvoid the patient for the rest of the shift
CCalmly say that the comments are not acceptable and redirect him
DLaugh at the comments so he does not feel rejected
6.Средняя
A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?
AAgoraphobia
BObsessive-compulsive disorder
CGeneralised anxiety disorder
DSocial anxiety disorder
7.Сложная
A patient who used methamphetamine heavily for weeks stopped 2 days ago. He sleeps most of the day, is very low and says life is pointless. What is the priority?
AWake him often so that his sleep pattern returns to normal
BEncourage him to exercise hard to raise his energy
CAssess his suicide risk
DGive a stimulant to relieve the low mood
8.Сложная
A patient with PTSD is having a nightmare and thrashing in bed. What is the safest way for the nurse to wake him?
AShake him firmly by the shoulders until he is fully awake
BTurn on all the lights and shout loudly so that he wakes up quickly
CStand at a safe distance, say his name clearly and tell him where he is
DHold his arms down firmly so that he cannot hit anyone or hurt himself while he is still asleep
Ответы
1. A · Repeatedly pulling out one's own hair, leading to hair loss
2. A · Настроение — то, что пациент сообщает о своих чувствах; аффект — эмоция, которую наблюдает медсестра
3. D · It provides nicotine without the harmful smoke, to reduce withdrawal and cravings
4. B · Nihilistic
5. C · Calmly say that the comments are not acceptable and redirect him
6. D · Social anxiety disorder
7. C · Assess his suicide risk
8. C · Stand at a safe distance, say his name clearly and tell him where he is
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