Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

To which drug class does donepezil belong?

  1. ASelective serotonin reuptake inhibitors
  2. BCholinesterase inhibitors
  3. CDopamine antagonists
  4. DBenzodiazepines
2.Лёгкая

What is malingering?

  1. AIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
  2. BPhysical symptoms caused by stress that the person does not produce on purpose
  3. CProducing symptoms on purpose to take on the role of a sick person, without any external gain
  4. DExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors
3.Лёгкая

An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?

  1. AFinancial abuse
  2. BSexual abuse
  3. CPhysical abuse
  4. DSelf-neglect by the father
4.Средняя

Which pattern suggests premenstrual dysphoric disorder?

  1. ALow mood throughout the whole month that is not linked to the menstrual cycle
  2. BMarked mood symptoms in the week before menstruation that improve within a few days after it starts
  3. CMild bloating the day before a period, without any mood changes
  4. DMood symptoms that begin only after the menopause and last for several years
5.Средняя

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

  1. APut him in a busy area so that staff can watch him more easily
  2. BEncourage him to walk around the ward and join in activities to help burn off the drug
  3. CProvide a quiet, low-stimulation environment and keep staff and patient safe
  4. DTry to talk the patient down by discussing his feelings in detail
6.Средняя

Which effects of methadone should the nurse monitor for?

  1. AAgranulocytosis and a sore throat
  2. BHypertensive crisis after eating aged cheese
  3. CHair loss, weight loss and a painful red rash on the face
  4. DRespiratory depression, sedation and a prolonged QT interval
7.Сложная

A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?

  1. AIgnore the clutter, because it is her own home
  2. BWork with her to clear the exits first, then agree a gradual plan together
  3. CTell her that she will be evicted unless everything is thrown away today
  4. DArrange for the whole house to be cleared while she is out
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?

  1. AOffer non-judgemental information and explore how drinking affects his life
  2. BDiscuss detailed strategies to prevent a relapse after he has stopped drinking
  3. CRefer him straight to a residential detox programme
  4. DHelp him set a quit date for next week

Ответы

  1. 1. B · Cholinesterase inhibitors
  2. 2. A · Intentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
  3. 3. A · Financial abuse
  4. 4. B · Marked mood symptoms in the week before menstruation that improve within a few days after it starts
  5. 5. C · Provide a quiet, low-stimulation environment and keep staff and patient safe
  6. 6. D · Respiratory depression, sedation and a prolonged QT interval
  7. 7. B · Work with her to clear the exits first, then agree a gradual plan together
  8. 8. A · Offer non-judgemental information and explore how drinking affects his life

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