Сестринское дело в психиатрии: лист заданий с ответами

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

1. ARationalisation
2. BProjection
3. CIdentification
4. DSuppression

Which statement about self-disclosure by the nurse is correct?

1. AIt should be brief, rare and used only to help the patient
2. BIt is never allowed in any situation
3. CIt should be used often to build friendship with the patient
4. DIt is helpful when the nurse shares personal problems in detail

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo review what happened, support those involved and learn how to prevent future restraint
2. BTo punish the patient for the behaviour that led to the restraint
3. CTo decide which staff member should be blamed for the incident
4. DTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"Please stop asking about her now and finish your lunch before it gets cold."
2. B"You're thinking about your mother. Tell me about her."
3. C"Your mother will visit you later this afternoon."
4. D"Your mother died 30 years ago. You know that."

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. AHyperthyroidism
2. BHypothyroidism
3. CAgranulocytosis
4. DSerotonin syndrome

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AChange the rules for this patient to avoid conflict
2. BState the rule and the consequence clearly, and make sure all staff apply it consistently
3. CLet each nurse decide on the day whether to apply the rules
4. DGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence

A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?

1. AFill in an incident report before checking the patient
2. BGive the patient his own prescribed medicine as well, to stay on schedule
3. CSay nothing, because one dose will not cause harm
4. DAssess the patient, including his vital signs and level of sedation

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

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