Сестринское дело в психиатрии: лист заданий с ответами

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. ATardive dyskinesia
2. BAkathisia
3. CWaxy flexibility
4. DEchopraxia

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. ARegression
2. BDisplacement
3. CReaction formation
4. DIntellectualisation

Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?

1. AFlashbacks of the traumatic event
2. BBeing easily startled by loud noises
3. CFeeling detached from family and friends
4. DAvoiding places that remind the person of the event

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Everyone feels that way sometimes."
2. B"Tell me more about what that feeling is like for you."
3. C"You shouldn't say things like that."
4. D"Let's talk about something more cheerful."

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt always makes the patient angry and more likely to become aggressive towards staff
2. BIt is against the law in mental health settings
3. CIt suggests that the patient's choices are judged against the nurse's standards
4. DIt shows that the nurse is not listening at all

Which feature helps distinguish normal grief from major depression?

1. AIn grief, painful feelings come in waves and self-esteem is usually kept
2. BIn grief, the person feels worthless and hopeless all the time
3. CGrief always lasts less than 2 weeks
4. DIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died

A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?

1. A"Smoking is only allowed in the garden, and that rule is the same for everyone."
2. B"I'll let you if you promise not to tell anyone else about it."
3. C"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."
4. D"Well, if the others let you, I suppose it's fine this once."

A patient with anorexia nervosa is admitted with a BMI of 14, dizziness and low potassium. Which goal is the priority in the first days?

1. AMedical stabilisation, with careful refeeding and correction of electrolytes
2. BGaining insight into family relationships through therapy
3. CPlanning her return to university and her studies after discharge
4. DImproving body image through group discussions