Сестринское дело в психиатрии: лист заданий с ответами

Which group of features is typical of dementia with Lewy bodies?

1. AEarly personality change and loss of social inhibition
2. BMemory loss only, with no other symptoms or changes in alertness for many years
3. CFluctuating alertness, detailed visual hallucinations and parkinsonism
4. DSudden step-by-step decline after small strokes

What is lanugo, which may be seen in severe anorexia nervosa?

1. AThickening of the skin on the knuckles caused by repeated vomiting
2. BPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
3. CLoss of tooth enamel caused by repeated contact with stomach acid
4. DFine, soft hair that grows on the body as it tries to conserve heat

Which measure has good evidence for reducing suicide deaths?

1. AAvoiding the topic of suicide completely with people at risk
2. BAsking the patient to sign a no-suicide contract
3. CGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
4. DRestricting access to lethal means, such as firearms or large supplies of medicines

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. ALeave him alone in a dark room so that he can sleep it off
2. BArgue with him that what he sees is not real until he accepts it
3. CStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
4. DShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off

Какое лекарство с наибольшей вероятностью повысит уровень лития у пациента?

1. AИбупрофен
2. BОмепразол
3. CАмоксициллин
4. DПарацетамол

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

1. AKeep to his usual routines where possible and prepare him for any changes
2. BChange his daily routine often, to help him get used to change
3. CPut him in a busy bay with lots of noise and activity to keep him stimulated
4. DAvoid his parents' advice, because staff know best how to care for him

During a panic attack, a patient breathes very fast and complains of light-headedness and tingling in her fingers and around her mouth. What should the nurse do?

1. AAsk her to breathe into a paper bag for at least 10 minutes
2. BGive her oxygen at a high flow rate through a mask
3. CLeave her alone so that she can calm down without anyone watching
4. DStay with her and coach her to breathe slowly and steadily

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. BSharing is fine as long as the friends are the same age
3. CStore it securely and never share it, because stimulants are controlled drugs
4. DGive the friends a smaller dose if they ask, so that they do not have side effects