Сестринское дело в психиатрии: лист заданий с ответами

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AAntisocial, borderline, histrionic and narcissistic
2. BParanoid, schizoid and schizotypal
3. CAvoidant, dependent and obsessive-compulsive
4. DHistrionic, dependent and schizoid

Which early feature is most typical of frontotemporal dementia?

1. AChanges in personality and behaviour, such as loss of inhibition
2. BVisual hallucinations of people and animals
3. CSevere memory loss as the very first symptom, with no change in behaviour
4. DStepwise decline after a series of small strokes

A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?

1. AAvoidant
2. BDependent
3. CSchizoid
4. DHistrionic

Which findings suggest recent cannabis use?

1. ASlow heart rate, constricted pupils, drooling and watery eyes
2. BPinpoint pupils, slow breathing and drowsiness
3. CDilated pupils, high fever and severe muscle rigidity
4. DRed eyes, increased appetite, dry mouth and a fast heart rate

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
2. BIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
3. CIt must be taken with grapefruit juice to be absorbed
4. DIt is safe in pregnancy and needs no special precautions

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"What does the man in the corner look like?"
2. B"The man will go away if you ignore him."
3. C"I don't see anyone in the corner, but I know it seems real to you."
4. D"That's just your illness talking, so there's nothing to worry about. Try to think of something else."

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHe should be told that his behaviour is unacceptable and that visits will be stopped
2. BHe has antisocial personality disorder that was not noticed before
3. CHis anger may be part of grief, displaced onto staff, so she should not take it personally
4. DHe does not care about his wife's death and is using it as an excuse to be rude

An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?

1. AAllow him to stay at home until he wants to go back
2. BLet a parent stay with him in class every day for the rest of the year
3. CSupport a gradual, planned return to school with a consistent goodbye routine
4. DTell him that he is being silly and must go