Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

What is trichotillomania?

  1. AA fungal infection of the scalp that is common in people with OCD
  2. BHair loss caused by lithium treatment
  3. CA fear of hair, combs and hairdressers
  4. DRepeatedly pulling out one's own hair, leading to hair loss
2.Лёгкая

An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?

  1. ASexual abuse
  2. BPhysical abuse
  3. CFinancial abuse
  4. DSelf-neglect by the father
3.Лёгкая

Повышает ли прямой вопрос пациенту о суицидальных мыслях риск самоубийства?

  1. AЭто безопасно только у подростков
  2. BДа; его должен задавать только психиатр после полного обследования
  3. CДа; он внушает пациенту эту идею
  4. DНет; прямой вопрос безопасен и помогает оценить риск
4.Средняя

How may depression present differently in adolescents than in adults?

  1. AWith irritability rather than obvious sadness
  2. BAlways with psychotic symptoms
  3. CWith a high fever and a rash
  4. DWith increased energy and less need for sleep
5.Средняя

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

  1. AGive an intramuscular injection at once without offering any choice
  2. BOffer the oral medicine first, before considering an injection
  3. CPlace him in seclusion and then decide about medicine later
  4. DHide the medicine in his drink without telling him
6.Средняя

Which physical finding is common in bulimia nervosa?

  1. AVery low body weight with lanugo hair
  2. BSwelling of the salivary glands at the angle of the jaw
  3. CRaised blood pressure, a fast pulse and a high temperature
  4. DA high serum potassium level
7.Сложная

A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?

  1. AAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
  2. BAsking the assistant to sit with a calm patient during a group art activity and report any concerns
  3. CAsking the assistant to take routine vital signs of a stable patient
  4. DAsking the assistant to help a patient with personal hygiene
8.Сложная

A patient in a catatonic stupor has not eaten or drunk anything for 24 hours and does not respond to speech. What is the priority nursing concern?

  1. ATeaching him about his medicines
  2. BExploring the meaning of his silence with open questions
  3. CFluid and nutritional intake, and other physical needs
  4. DEncouraging him to join group therapy

Ответы

  1. 1. D · Repeatedly pulling out one's own hair, leading to hair loss
  2. 2. C · Financial abuse
  3. 3. D · Нет; прямой вопрос безопасен и помогает оценить риск
  4. 4. A · With irritability rather than obvious sadness
  5. 5. B · Offer the oral medicine first, before considering an injection
  6. 6. B · Swelling of the salivary glands at the angle of the jaw
  7. 7. A · Asking the assistant to decide whether a patient needs a second dose of a PRN sedative
  8. 8. C · Fluid and nutritional intake, and other physical needs

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