Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?

  1. AUndoing
  2. BSublimation
  3. CProjection
  4. DDenial
2.Лёгкая

Пациент говорит: «Я боюсь завтрашней операции». Какой ответ медсестры является примером ложного успокоения?

  1. A«Что больше всего беспокоит вас в завтрашнем дне?»
  2. B«Расскажите подробнее о своих чувствах».
  3. C«Вы звучите напуганным».
  4. D«Не волнуйтесь, всё будет хорошо».
3.Лёгкая

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

  1. ABlunted
  2. BCongruent
  3. CLabile
  4. DFlat
4.Средняя

How should a patient take sublingual buprenorphine-naloxone tablets?

  1. ACrush the tablet and mix it with a spoonful of soft food such as yoghurt
  2. BChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
  3. CSwallow the tablet whole with a large glass of water
  4. DLet the tablet dissolve completely under the tongue without chewing or swallowing it
5.Средняя

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

  1. AIt must be taken with grapefruit juice to be absorbed
  2. BIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
  3. CIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
  4. DIt is safe in pregnancy and needs no special precautions
6.Средняя

What does the Mini-Cog screening test for cognitive impairment involve?

  1. ARecall of three words and a clock-drawing task
  2. BA 30-minute brain scan
  3. CA questionnaire about mood over the past 2 weeks
  4. DMeasuring the level of alcohol in the blood
7.Сложная

A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?

  1. AReassure her that all new mothers feel this way
  2. BPlan a routine follow-up appointment with the health visitor in 2 weeks
  3. CEncourage her to spend more time alone with the baby so that they can bond
  4. DKeep the baby safe, never alone with her, and arrange urgent assessment
8.Сложная

The parent of a child recently diagnosed with autism asks, "Did his vaccines cause this?" What is the most accurate response?

  1. A"We don't know, so it is best to stop all of his other vaccines."
  2. B"Yes, the MMR vaccine is a proven cause of autism."
  3. C"Large studies have found no link between vaccines and autism."
  4. D"Autism is caused by cold and distant parenting styles in early childhood."

Ответы

  1. 1. A · Undoing
  2. 2. D · «Не волнуйтесь, всё будет хорошо».
  3. 3. C · Labile
  4. 4. D · Let the tablet dissolve completely under the tongue without chewing or swallowing it
  5. 5. B · It can seriously harm an unborn baby, so effective contraception and specialist advice are essential
  6. 6. A · Recall of three words and a clock-drawing task
  7. 7. D · Keep the baby safe, never alone with her, and arrange urgent assessment
  8. 8. C · "Large studies have found no link between vaccines and autism."

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