Сестринское дело в психиатрии: лист заданий с ответами

A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?

1. A"Tell me what it has been like since she died."
2. B"It sounds very lonely without her."
3. C"Losing your wife must have been very hard for you."
4. D"Everybody feels that way sometimes. You'll get over it."

Which statement about nicotine replacement therapy is correct?

1. AIt contains tar and carbon monoxide in smaller amounts than cigarettes
2. BIt must never be combined, for example a patch with gum
3. CIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings
4. DIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them

What is the difference between empathy and sympathy?

1. AEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
2. BEmpathy and sympathy mean exactly the same thing in nursing
3. CEmpathy is used only with children and teenagers; sympathy is used only with adult patients
4. DEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them

What is the key difference between factitious disorder and malingering?

1. AThere is no real difference between them, and both terms mean exactly the same thing
2. BIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
3. CMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
4. DIn factitious disorder, the symptoms are not produced on purpose at all

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. BAgranulocytosis
3. CSerotonin syndrome
4. DHypothyroidism

Какой побочный эффект клозапина может быть угрожающим жизни и часто упускается из виду?

1. AЛёгкий набор массы тела
2. BСонливость
3. CТяжёлый запор, ведущий к кишечной непроходимости
4. DПовышенное слюноотделение

Which intervention is most appropriate for an older patient with delirium?

1. AProvide orientation cues, make sure glasses and hearing aids are used, and involve the family
2. BMove the patient to a different room each day
3. CKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
4. DUse physical restraints at night to prevent falls

The parent of a 16-year-old taking a stimulant for ADHD says her son's friends keep asking him for his tablets. What should the nurse teach?

1. AStop the medicine so that there is no risk of sharing
2. BStore it securely and never share it, because stimulants are controlled drugs
3. CSharing is fine as long as the friends are the same age
4. DGive the friends a smaller dose if they ask, so that they do not have side effects