Сестринское дело в психиатрии: лист заданий с ответами

How does naltrexone help people with alcohol dependence?

1. AIt replaces alcohol in the brain and prevents withdrawal seizures
2. BIt causes vomiting and flushing if the person drinks alcohol
3. CIt blocks opioid receptors and reduces the craving and pleasure from drinking
4. DIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk

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

1. AShock, guilt, hope, sadness, recovery
2. BAnger, denial, acceptance, bargaining, depression
3. CAcceptance, bargaining, anger, depression, denial
4. DDenial, anger, bargaining, depression, acceptance

Человек, испытывающий сильную враждебность к соседу, чрезмерно дружелюбен и щедр с ним. Какой это защитный механизм?

1. AКомпенсация
2. BСмещение
3. CРеактивное образование
4. DОтрицание

A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?

1. ADissociative amnesia for the trauma
2. BChanges in arousal and reactivity
3. CIntrusion symptoms
4. DAvoidance

What is the Abnormal Involuntary Movement Scale (AIMS) used for?

1. ATo assess the risk of a patient becoming violent
2. BTo screen for and monitor tardive dyskinesia
3. CTo measure the severity of alcohol withdrawal
4. DTo rate the severity of depression

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

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

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. AKeep a safe distance, call for help and avoid trying to take the chair alone
2. BShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge
3. CTurn her back and walk away slowly without saying anything
4. DGrab the chair from the patient quickly before he can use it

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. AWater intoxication from psychogenic polydipsia
2. BNeuroleptic malignant syndrome from his antipsychotic medicine
3. CDehydration caused by anticholinergic side effects
4. DA worsening of his psychosis that needs a higher dose of antipsychotic