Сестринское дело в психиатрии: лист заданий с ответами

Почему медсестрам обычно следует избегать вопросов «почему», например «Почему вы так сделали?»

1. AОни сокращают оценку
2. BОни могут вызвать у пациента чувство осуждения и защитную реакцию
3. CОни слишком открытые
4. DОни всегда противозаконны

In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?

1. AUniversality
2. BInstillation of hope
3. CCatharsis
4. DAltruism

In obsessive-compulsive disorder, what is an obsession?

1. AA repeated action done to reduce anxiety, such as checking a lock
2. BA false belief that is held firmly despite clear evidence that it is untrue
3. CA recurrent, unwanted thought, urge or image that causes anxiety
4. DA strong interest in a hobby that the person enjoys very much

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

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

How should the nurse position herself when talking to an agitated patient?

1. AAt a safe distance, slightly to the side, with a clear exit available
2. BDirectly face to face, as close as possible, to show confidence
3. CBehind the patient and close to him, so that the patient does not feel threatened by eye contact
4. DBetween the patient and the wall, so the patient can leave easily

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

1. ANihilistic
2. BSomatic
3. CErotomanic
4. DGrandiose

A patient in DBT feels a strong urge to self-harm after a distressing phone call. Which DBT skill module is designed to help her get through this moment without making things worse?

1. ADistress tolerance
2. BInterpersonal effectiveness
3. CSystematic desensitisation
4. DCognitive restructuring of core beliefs

A woman who takes lithium for bipolar disorder tells the nurse she would like to become pregnant. What is the best response?

1. A"Lithium is completely safe in pregnancy, so there is no need to change anything at all."
2. B"Stop the lithium today so that it is out of your body before you get pregnant."
3. C"Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
4. D"You'll need to choose between treating your bipolar disorder and having a baby."