Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

  1. AParanoid
  2. BHistrionic
  3. CAvoidant
  4. DSchizoid
2.Лёгкая

According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?

  1. AAt least 6 months
  2. BAt least 2 weeks
  3. CAt least 2 years
  4. DAt least 2 days
3.Лёгкая

In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?

  1. AUniversality
  2. BCatharsis
  3. CInstillation of hope
  4. DAltruism
4.Средняя

Какие серьёзные нежелательные эффекты связаны с карбамазепином?

  1. AБыстрая потеря массы тела
  2. BПотеря слуха
  3. CЗаболевания крови, например агранулоцитоз, и тяжёлые кожные реакции
  4. DТолько рост волос и разрастание дёсен, которые в основном косметические проблемы
5.Средняя

A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?

  1. APut all clothing in a sealed plastic bag
  2. BShower and wash her clothes before coming in, so she feels cleaner
  3. CWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination
  4. DAvoid showering or changing clothes, and bring any clothing already removed in a paper bag
6.Средняя

A patient who started a high-dose corticosteroid (prednisolone or prednisone) a week ago is now euphoric, sleeping little and talking very fast. What should the nurse suspect?

  1. ALithium toxicity
  2. BA normal reaction to feeling better from the treatment
  3. CAlcohol withdrawal
  4. DMood changes caused by the corticosteroid
7.Сложная

A patient who stopped drinking 24 hours ago has a generalised tonic-clonic seizure in bed. What is the nurse's first action?

  1. AGive oral thiamine with a glass of water
  2. BPut something in his mouth to stop him biting his tongue
  3. CRestrain his arms and legs to stop the movements
  4. DProtect the airway and keep him safe from injury
8.Сложная

A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?

  1. AHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
  2. BHe should get no opioids at all, because of his history
  3. CHis methadone should be stopped while he is in hospital
  4. DHis usual methadone should continue, and additional analgesia is usually needed for acute pain

Ответы

  1. 1. B · Histrionic
  2. 2. B · At least 2 weeks
  3. 3. A · Universality
  4. 4. C · Заболевания крови, например агранулоцитоз, и тяжёлые кожные реакции
  5. 5. D · Avoid showering or changing clothes, and bring any clothing already removed in a paper bag
  6. 6. D · Mood changes caused by the corticosteroid
  7. 7. D · Protect the airway and keep him safe from injury
  8. 8. D · His usual methadone should continue, and additional analgesia is usually needed for acute pain

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