Сестринское дело в психиатрии: лист заданий с ответами

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AConfront the parents and ask them directly whether they hurt the child
2. BInvestigate the family alone at home before reporting
3. CWait until there is clear proof before telling anyone
4. DReport the concern according to child protection procedures

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. ASuppression
2. BProjection
3. CRationalisation
4. DIdentification

A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?

1. ALithium carbonate
2. BElectroconvulsive therapy
3. CSeclusion in a quiet room
4. DBright light therapy

A patient with limited English needs a mental health assessment. Who should interpret?

1. AA trained professional interpreter
2. BAnother patient on the ward who speaks the language
3. CThe patient's 12-year-old son
4. DThe nurse, using an online translation app on her phone for the whole assessment

Which nurse statement is most consistent with motivational interviewing?

1. A"I've decided that you need to stop drinking completely."
2. B"If you don't stop drinking now, you'll die."
3. C"You're an alcoholic, and you need to admit it."
4. D"What would be different for you if you drank less?"

Which treatment is recommended first-line for chronic insomnia in adults?

1. ACognitive behavioural therapy for insomnia (CBT-I)
2. BLong-term daily benzodiazepines
3. CStaying in bed for longer each morning
4. DDrinking alcohol in the evening to fall asleep

A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?

1. AGive the next dose of venlafaxine as planned
2. BHold the serotonergic medicines and inform the prescriber urgently
3. CGive paracetamol (acetaminophen) and check her again tomorrow
4. DEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. ATake a double dose at night to make him sleepy
2. BDiscuss with the prescriber whether he can take it in the morning instead
3. CDrink a small glass of wine or beer before bed to help him fall asleep
4. DStop the fluoxetine at once and tell the prescriber at his next appointment