Сестринское дело в психиатрии: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
Which sequence describes the cycle of violence often seen in intimate partner abuse?
AReconciliation, acute violence, then tension-building with no further violence
BAcute violence, then permanent separation of the partners
CTension-building, acute violence, then reconciliation (the "honeymoon" phase)
DTension-building, then a calm phase that lasts for the rest of the relationship
2.Лёгкая
What is countertransference?
AThe patient's feelings towards the nurse, based on earlier relationships
BThe patient repeating the nurse's words and gestures without understanding their meaning
CThe transfer of a patient's care to another nurse at the end of a shift
DThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
3.Лёгкая
What is "enabling" in the context of substance use?
ABehaviour by others that protects the person from the consequences of their use
BGiving the person information about the effects of the substance
CSetting firm limits on what behaviour the family will accept in the home from now on
DHelping the person to attend a treatment programme on time
4.Средняя
Which postpartum presentation is a psychiatric emergency?
ATearfulness and mood swings on the third day after birth
BTiredness and worry about feeding the baby in the first week
CFeeling tearful at times but enjoying the baby and sleeping well when she can
DConfusion, hallucinations and rapidly changing mood a few days after birth
5.Средняя
Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?
ARead and write in the language used by the staff
BRemember the decision for more than a year afterwards
CAgree with the decision that the doctor and the rest of the healthcare team recommend for them
DUnderstand, retain and weigh the information, or communicate their decision
6.Средняя
A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?
AIbuprofen will make the sertraline work faster
BThe combination is completely safe because they act on different systems
CIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
DThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
7.Сложная
Через пять дней после начала галоперидола у пациента температура 40 °C, ригидные конечности, спутанность, колебания давления и потливость. Что должна сделать медсестра первым?
AДать ещё дозу галоперидола, чтобы успокоить
BПредложить упражнения, чтобы уменьшить скованность
CДать парацетамол от лихорадки и проверить показатели через 4 часа
DПриостановить антипсихотик и срочно вызвать врача
8.Сложная
For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?
AGeneralised anxiety disorder
BSpecific phobia
CAcute stress disorder after a recent trauma
DPanic disorder
Ответы
1. C · Tension-building, acute violence, then reconciliation (the "honeymoon" phase)
2. D · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
3. A · Behaviour by others that protects the person from the consequences of their use
4. D · Confusion, hallucinations and rapidly changing mood a few days after birth
5. D · Understand, retain and weigh the information, or communicate their decision
6. D · The combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
7. D · Приостановить антипсихотик и срочно вызвать врача
8. A · Generalised anxiety disorder
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