Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
Какой класс препаратов является основным в лечении алкогольной абстиненции?
AАнтипсихотики как лечение первой линии
BОпиоиды
CСИОЗС
DБензодиазепины
2.Лёгкая
Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?
AExcessive hunger
BSexual dysfunction
CSevere constipation
DHair loss
3.Лёгкая
Какой препарат является селективным ингибитором обратного захвата серотонина (СИОЗС)?
AСертралин
BГалоперидол
CЛитий
DДиазепам
4.Средняя
Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?
ATalk with the patient at length about calories during the meal
BLet the patient eat alone in her room for privacy
CAllow the patient to choose to skip meals if she says she feels full or unwell
DSupervise the meal and observe the patient for an agreed period afterwards
5.Средняя
A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?
AA dangerous rise in blood pressure after eating foods that contain tyramine
BSevere weight gain in the first week
CNew or worsening suicidal thoughts or unusual changes in mood or behaviour
DSigns of physical dependence, because it is a controlled stimulant
6.Средняя
What is the main advantage of a long-acting injectable antipsychotic?
AIt cures schizophrenia after a fixed course of injections
BIt has no side effects, unlike the oral forms of the same antipsychotic drugs
CIt improves adherence because the patient does not need to take daily tablets
DIt works faster than any oral antipsychotic in an acute crisis
7.Сложная
A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?
ADrink a small glass of wine or beer before bed to help him fall asleep
BDiscuss with the prescriber whether he can take it in the morning instead
CStop the fluoxetine at once and tell the prescriber at his next appointment
DTake a double dose at night to make him sleepy
8.Сложная
Which patient should the nurse check first?
AA patient with depression who is asking for help to phone his mother
BA patient with OCD who is late for breakfast because of a long washing ritual in the bathroom
CA patient given IM haloperidol and lorazepam 30 minutes ago who is hard to rouse, breathing 8/min
DA patient with schizophrenia who wants a cigarette break in the garden
Ответы
1. D · Бензодиазепины
2. B · Sexual dysfunction
3. A · Сертралин
4. D · Supervise the meal and observe the patient for an agreed period afterwards
5. C · New or worsening suicidal thoughts or unusual changes in mood or behaviour
6. C · It improves adherence because the patient does not need to take daily tablets
7. B · Discuss with the prescriber whether he can take it in the morning instead
8. C · A patient given IM haloperidol and lorazepam 30 minutes ago who is hard to rouse, breathing 8/min
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