Сестринское дело в психиатрии: лист заданий с ответами

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. ACatastrophising
2. BMind reading
3. CPersonalisation
4. DEmotional reasoning

Which medicine may be used to treat moderate serotonin syndrome?

1. ACyproheptadine
2. BPhenelzine
3. CSertraline
4. DTramadol

What are the two core areas affected in autism spectrum disorder?

1. ASocial communication and interaction, and restricted, repetitive behaviours or interests
2. BMood and appetite, which change with the seasons
3. CMemory and orientation to time and place
4. DReading and writing only, with completely normal social skills and play

What must a patient be told for consent to a new psychotropic medicine to be valid?

1. ANothing at all, because psychiatric patients cannot give consent
2. BThe expected benefits, the main risks and the alternatives, including no treatment
3. COnly the name of the medicine and the time of day it will be given
4. DOnly the benefits, so that the patient is not frightened by the side effects

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. AAvoid asking about it, because culture is not relevant to mental health
2. BTell her that her beliefs are not real
3. CRecord it immediately as a command hallucination
4. DExplore the experience in her cultural context before calling it a symptom

Which postpartum presentation is a psychiatric emergency?

1. AFeeling tearful at times but enjoying the baby and sleeping well when she can
2. BTiredness and worry about feeding the baby in the first week
3. CTearfulness and mood swings on the third day after birth
4. DConfusion, hallucinations and rapidly changing mood a few days after birth

On the day after hip surgery, a 58-year-old patient has a new tremor, sweating, anxiety and a fast pulse. He did not report any alcohol use on admission. What should the nurse do?

1. AAssume he has post-operative pain and give extra analgesia only
2. BAsk him and his family about his alcohol use and the time of his last drink, and report the findings
3. CTell him that his symptoms are normal after hip surgery
4. DWait until the next day to see if the symptoms go away on their own once his pain is better controlled

A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?

1. A"Yes, I think you'd be happier without him."
2. B"You should ask your doctor what to do about it."
3. C"What are your thoughts about the options you have?"
4. D"No, divorce would only make things worse for you."