Сестринское дело в психиатрии: лист заданий с ответами

In behaviour therapy, what is positive reinforcement?

1. AAdding a reward after a behaviour so that the behaviour becomes more likely
2. BAdding an unpleasant consequence so that a behaviour stops
3. CIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
4. DRemoving a reward so that a behaviour becomes less likely

A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?

1. AThought blocking
2. BWord salad
3. CFlight of ideas
4. DClang association

What is a token economy?

1. AA system that lets patients pay for their own medicines and snacks while on the ward
2. BA form of punishment in which a privilege is removed for every ward rule that the patient breaks
3. CA programme in which patients earn tokens for target behaviours and swap them for rewards
4. DA method of group therapy based on discussing money problems

Which nurse statement is most consistent with motivational interviewing?

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

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AOnly after one year at home
2. BThere is no change in risk after discharge
3. COnly while the patient is asleep in hospital
4. DIn the first weeks after discharge

How does memantine work in Alzheimer's disease?

1. AIt blocks dopamine D₂ receptors
2. BIt increases serotonin by blocking its reuptake
3. CIt blocks NMDA glutamate receptors
4. DIt inhibits the breakdown of acetylcholine

Пациент начал принимать антидепрессант 10 дней назад. Он говорит, что у него теперь больше энергии, но он по-прежнему чувствует безнадёжность. Почему это требует тщательного наблюдения?

1. AЭто признак серотонинового синдрома
2. BЭто значит, что антидепрессант полностью подействовал
3. CЭнергия может вернуться раньше улучшения настроения, что может повысить риск того, что он последует суицидальным мыслям
4. DЭто значит, что доза слишком мала, поэтому антидепрессант нужно отменить и сразу начать другой

A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?

1. AAsking the assistant to help a patient with personal hygiene
2. BAsking the assistant to take routine vital signs of a stable patient
3. CAsking the assistant to sit with a calm patient during a group art activity and report any concerns
4. DAsking the assistant to decide whether a patient needs a second dose of a PRN sedative