Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
Каковы, по Пеплау, основные фазы отношений «медсестра–пациент»?
AОтрицание, гнев и принятие
BОриентация, работа и завершение
CПоступление, лечение и выписка
DОценка, диагноз и оценка результатов
2.Лёгкая
Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?
ALithium
BFluoxetine
CHaloperidol
DDantrolene
3.Лёгкая
Which medicine is commonly used to treat antipsychotic-induced akathisia?
AHaloperidol
BBupropion
CPropranolol
DLithium
4.Средняя
Which statement about benzodiazepines in anxiety disorders is correct?
AThey take 4–6 weeks to have any effect on anxiety, like antidepressants
BThey are safe to stop suddenly after many months of daily use
CThey are the preferred long-term treatment for generalised anxiety disorder
DThey give rapid relief but are generally used only short-term because of tolerance and dependence
5.Средняя
Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?
ASupervise the meal and observe the patient for an agreed period afterwards
BAllow the patient to choose to skip meals if she says she feels full or unwell
CTalk with the patient at length about calories during the meal
DLet the patient eat alone in her room for privacy
6.Средняя
How does memantine work in Alzheimer's disease?
AIt blocks dopamine D2 receptors
BIt inhibits the breakdown of acetylcholine
CIt increases serotonin by blocking its reuptake
DIt blocks NMDA glutamate receptors
7.Сложная
For which patient is electroconvulsive therapy (ECT) most likely to be considered?
AA patient with a first episode of mild depression who has not yet tried any other treatment
BA patient with mild anxiety before exams
CA patient with a personality disorder who self-harms when stressed
DA patient with severe psychotic depression who has stopped eating and drinking
8.Сложная
A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?
AOffer non-judgemental information and explore how drinking affects his life
BRefer him straight to a residential detox programme
CHelp him set a quit date for next week
DDiscuss detailed strategies to prevent a relapse after he has stopped drinking
Ответы
1. B · Ориентация, работа и завершение
2. D · Dantrolene
3. C · Propranolol
4. D · They give rapid relief but are generally used only short-term because of tolerance and dependence
5. A · Supervise the meal and observe the patient for an agreed period afterwards
6. D · It blocks NMDA glutamate receptors
7. D · A patient with severe psychotic depression who has stopped eating and drinking
8. A · Offer non-judgemental information and explore how drinking affects his life
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