Сестринское дело в психиатрии: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?
AUniversality
BInstillation of hope
CCatharsis
DAltruism
2.Лёгкая
Which of these medicines is a second-generation (atypical) antipsychotic?
ALorazepam
BHaloperidol
CChlorpromazine
DQuetiapine
3.Лёгкая
Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?
AFlumazenil
BDisulfiram
CClonidine
DNaloxone
4.Средняя
What is the key difference between factitious disorder and malingering?
AThere is no real difference between them, and both terms mean exactly the same thing
BMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
CIn factitious disorder, the symptoms are not produced on purpose at all
DIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
5.Средняя
Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?
AState the rule and the consequence clearly, and make sure all staff apply it consistently
BLet each nurse decide on the day whether to apply the rules
CGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
DChange the rules for this patient to avoid conflict
6.Средняя
A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?
A"Everyone here knows you well, so don't worry."
B"The doctor is very experienced, so you should trust her."
C"Why do you think the doctor is wrong about you?"
D"You feel that people here don't really know you?"
7.Сложная
A man has odd beliefs about being able to read minds, dresses eccentrically and has few friends because others make him anxious. He has never had sustained hallucinations or delusions. Which diagnosis fits best?
ASchizotypal personality disorder
BAntisocial personality disorder
CHistrionic personality disorder with odd dress
DSchizophrenia
8.Сложная
Сразу после сеанса ЭСТ пациент сонлив в палате пробуждения. Что является сестринским приоритетом?
AПопросить пациента самому дойти до отделения
BПодробно проверить долговременную память пациента, чтобы выявить стойкое повреждение
CСразу дать плотный завтрак
DПоддерживать проходимость дыхательных путей, уложить пациента на бок и контролировать жизненные показатели
Ответы
1. A · Universality
2. D · Quetiapine
3. C · Clonidine
4. D · In factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
5. A · State the rule and the consequence clearly, and make sure all staff apply it consistently
6. D · "You feel that people here don't really know you?"
7. A · Schizotypal personality disorder
8. D · Поддерживать проходимость дыхательных путей, уложить пациента на бок и контролировать жизненные показатели
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