Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

Which sequence shows the five stages of grief described by Kübler-Ross?

  1. AAcceptance, bargaining, anger, depression, denial
  2. BAnger, denial, acceptance, bargaining, depression
  3. CDenial, anger, bargaining, depression, acceptance
  4. DShock, guilt, hope, sadness, recovery
2.Лёгкая

How does binge-eating disorder differ from bulimia nervosa?

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

Студент, провалившийся на экзамене, говорит: «Вопросы были несправедливые, так что это неважно». Какой это защитный механизм?

  1. AВытеснение
  2. BРационализация
  3. CИдентификация
  4. DКонверсия
4.Средняя

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

  1. AIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
  2. BThe combination is completely safe because they act on different systems
  3. CIbuprofen will make the sertraline work faster
  4. DThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
5.Средняя

Which postpartum presentation is a psychiatric emergency?

  1. ATearfulness and mood swings on the third day after birth
  2. BTiredness and worry about feeding the baby in the first week
  3. CConfusion, hallucinations and rapidly changing mood a few days after birth
  4. DFeeling tearful at times but enjoying the baby and sleeping well when she can
6.Средняя

Which information is essential when documenting the use of physical restraint?

  1. AThe nurse's personal opinion of the patient's character and attitude
  2. BThe reason for it, alternatives tried, start and end times, and the observations made
  3. COnly the time the restraint started and the name of the nurse in charge of the shift
  4. DThe full names of the other patients who saw the incident
7.Сложная

For which patient is electroconvulsive therapy (ECT) most likely to be considered?

  1. AA patient with a first episode of mild depression who has not yet tried any other treatment
  2. BA patient with mild anxiety before exams
  3. CA patient with severe psychotic depression who has stopped eating and drinking
  4. DA patient with a personality disorder who self-harms when stressed
8.Сложная

While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?

  1. ALeave the patient immediately and not return
  2. BIgnore her own reaction, because the nurse's feelings do not matter in patient care
  3. CRecognise that anxiety spreads between people, and calm herself first
  4. DMatch the patient's level of anxiety to show empathy

Ответы

  1. 1. C · Denial, anger, bargaining, depression, acceptance
  2. 2. B · There are no regular compensatory behaviours, such as vomiting or laxative use
  3. 3. B · Рационализация
  4. 4. D · The combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
  5. 5. C · Confusion, hallucinations and rapidly changing mood a few days after birth
  6. 6. B · The reason for it, alternatives tried, start and end times, and the observations made
  7. 7. C · A patient with severe psychotic depression who has stopped eating and drinking
  8. 8. C · Recognise that anxiety spreads between people, and calm herself first

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