Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
AFinancial abuse
BSelf-neglect by the father
CSexual abuse
DPhysical abuse
2.Лёгкая
In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?
AWithin 3 days
BOnly after 1 year
CWithin 3 months
DOnly after 2 years
3.Лёгкая
Зачем пациентам с алкогольной зависимостью дают тиамин (витамин B1)?
AЧтобы предотвратить или лечить энцефалопатию Вернике
BЧтобы лечить цирроз печени
CЧтобы уменьшить тягу к алкоголю
DЧтобы алкоголь стал неприятным на вкус
4.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?
AGeneralised anxiety disorder
BAgoraphobia
CObsessive-compulsive disorder
DSocial anxiety disorder
5.Средняя
What does the Mini-Cog screening test for cognitive impairment involve?
AMeasuring the level of alcohol in the blood
BRecall of three words and a clock-drawing task
CA 30-minute brain scan
DA questionnaire about mood over the past 2 weeks
6.Средняя
Which preparation is usual before electroconvulsive therapy (ECT)?
AFasting for several hours, because a brief general anaesthetic is given
BEating a large meal to prevent low blood sugar during the seizure
CStopping all regular medicines for 2 weeks before the first treatment
DNo preparation, because the patient stays fully awake during ECT
7.Сложная
A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?
ACarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
BWait until the next morning to see if she still feels the same once the argument has settled down
CTell the patient she is only seeking attention
DAgree with the colleague and take no action at all
8.Сложная
Which patient should the nurse check first?
AA patient with OCD who is late for breakfast because of a long washing ritual in the bathroom
BA patient given IM haloperidol and lorazepam 30 minutes ago who is hard to rouse, breathing 8/min
CA patient with schizophrenia who wants a cigarette break in the garden
DA patient with depression who is asking for help to phone his mother
Ответы
1. A · Financial abuse
2. C · Within 3 months
3. A · Чтобы предотвратить или лечить энцефалопатию Вернике
4. D · Social anxiety disorder
5. B · Recall of three words and a clock-drawing task
6. A · Fasting for several hours, because a brief general anaesthetic is given
7. A · Carry out a full suicide risk assessment, as with any patient who expresses suicidal intent
8. B · A patient given IM haloperidol and lorazepam 30 minutes ago who is hard to rouse, breathing 8/min
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