Сестринское дело в психиатрии: лист заданий с ответами

Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?

1. ASexual dysfunction
2. BSevere constipation
3. CExcessive hunger
4. DHair loss

How does binge-eating disorder differ from bulimia nervosa?

1. AThe person always has a very low body weight and a fear of gaining weight
2. BThere are no regular compensatory behaviours, such as vomiting or laxative use
3. CThe person never feels a loss of control while eating
4. DBinges happen only once a year, so they are not a problem

In behaviour therapy, what is negative reinforcement?

1. AIgnoring a behaviour so that it slowly disappears over time
2. BAdding a reward after a behaviour so that it happens more often
3. CTaking away something unpleasant after a behaviour, which makes it more likely
4. DPunishing a behaviour with an unpleasant consequence so that it becomes less likely

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"Your mother will visit you later this afternoon."
2. B"You're thinking about your mother. Tell me about her."
3. C"Your mother died 30 years ago. You know that."
4. D"Please stop asking about her now and finish your lunch before it gets cold."

Какова классическая триада энцефалопатии Вернике?

1. AСпутанность, атаксия и нарушения движений глаз
2. BТремор, ригидность и замедленность движений
3. CТолько головная боль, рвота и нечёткость зрения
4. DЛихорадка, сыпь и ригидность затылочных мышц

A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?

1. AThe patient can be left alone while asleep
2. BThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
3. CA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
4. DThe patient is checked every hour during the day only

Пациент в маниакальном эпизоде перебивает других пациентов и становится всё громче в дневной комнате. Какое сестринское действие наиболее уместно?

1. AСпокойно проводить пациента в более тихое место с меньшей стимуляцией и установить чёткие простые границы
2. BВключить музыку погромче, чтобы отвлечь группу
3. CСпорить с пациентом о его поведении на глазах у всех, пока он не согласится прекратить
4. DПредложить соревновательную групповую игру, чтобы потратить энергию

On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?

1. AExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
2. BAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover
3. CArrange an emergency psychiatric admission today
4. DTell her that antidepressants must be started at once