Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
Что является центральным признаком нервной анорексии?
AОграничение приёма пищи с сильным страхом набрать вес и искажённым образом тела
BНормальная забота о здоровом питании
CПовторяющиеся приступы переедания без каких-либо компенсаторных действий, с выраженным дистрессом из-за приступов
DПоедание несъедобных предметов
2.Лёгкая
For which patients is clozapine mainly used?
APatients with mild anxiety who need a short-term sedative
BPatients with schizophrenia that has not responded to two other antipsychotics
COlder patients with dementia who become agitated and restless in the evening
DPatients having their very first episode of mild psychosis
3.Лёгкая
A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?
AA visual hallucination
BDerealisation
CDepersonalisation
DA delusion of control
4.Средняя
A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?
A"You know that isn't true at all."
B"That sounds hard to believe."
C"That's wonderful. When will you start?"
D"Why do you want to buy the hospital?"
5.Средняя
In a therapy group, one member talks constantly and interrupts others. What should the group leader do?
ACriticise the member in front of the whole group so that she learns to stay quiet
BLet the member continue, because she has a lot to say
CAcknowledge the member's contribution and invite others to share their views
DAsk the member to leave the group permanently so that others can speak
6.Средняя
Какой мониторинг важен для пациента, начинающего вальпроат?
AТолько внутриглазное давление
BТесты слуха
CФункция лёгких и регулярные рентгенограммы грудной клетки из-за риска лёгочного фиброза
DФункция печени и признаки панкреатита, а также консультирование о рисках при беременности
7.Сложная
A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?
ALock and unlock the door in front of him each time he asks
BAnswer once, then follow the agreed plan to limit repeated reassurance
CTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
DReassure him every time he asks, as often as he needs
8.Сложная
A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?
APraise her for being so active and motivated, because it shows she is taking care of her health
BCalmly follow the agreed care plan on activity and observation, without arguing or punishing
CTell her she will be tube-fed if she does it again
DIgnore it, because exercise is always healthy
Ответы
1. A · Ограничение приёма пищи с сильным страхом набрать вес и искажённым образом тела
2. B · Patients with schizophrenia that has not responded to two other antipsychotics
3. C · Depersonalisation
4. B · "That sounds hard to believe."
5. C · Acknowledge the member's contribution and invite others to share their views
6. D · Функция печени и признаки панкреатита, а также консультирование о рисках при беременности
7. B · Answer once, then follow the agreed plan to limit repeated reassurance
8. B · Calmly follow the agreed care plan on activity and observation, without arguing or punishing
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