Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

Какой препарат является селективным ингибитором обратного захвата серотонина (СИОЗС)?

  1. AЛитий
  2. BСертралин
  3. CДиазепам
  4. DГалоперидол
2.Лёгкая

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

  1. ALow white blood cell count
  2. BWeight gain and raised blood glucose
  3. CExtrapyramidal side effects such as dystonia and pseudoparkinsonism
  4. DRaised prolactin and breast enlargement
3.Лёгкая

A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?

  1. AClang association
  2. BFlight of ideas
  3. CWord salad
  4. DThought blocking
4.Средняя

Пациент говорит: «Я никчёмный. Никому нет до меня дела». Какой ответ наиболее терапевтичен?

  1. A«Вам не следует такое говорить».
  2. B«Это неправда; здесь все о вас заботятся».
  3. C«Вы чувствуете, что никому нет до вас дела. Расскажите подробнее».
  4. D«Давайте поговорим о чём-нибудь более весёлом».
5.Средняя

A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?

  1. A"Everyone here knows you well, so don't worry."
  2. B"You feel that people here don't really know you?"
  3. C"The doctor is very experienced, so you should trust her."
  4. D"Why do you think the doctor is wrong about you?"
6.Средняя

How should a nurse screen a patient for intimate partner violence?

  1. AAsk in private, without the partner or family present
  2. BAsk the partner instead of the patient
  3. COnly ask patients who have visible injuries
  4. DAsk in front of the partner to see how he reacts
7.Сложная

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. AA worsening of his psychosis that needs a higher dose of antipsychotic
  2. BWater intoxication from psychogenic polydipsia
  3. CDehydration caused by anticholinergic side effects
  4. DNeuroleptic malignant syndrome from his antipsychotic medicine
8.Сложная

For which patient is electroconvulsive therapy (ECT) most likely to be considered?

  1. AA patient with mild anxiety before exams
  2. BA patient with severe psychotic depression who has stopped eating and drinking
  3. CA patient with a personality disorder who self-harms when stressed
  4. DA patient with a first episode of mild depression who has not yet tried any other treatment

Ответы

  1. 1. B · Сертралин
  2. 2. C · Extrapyramidal side effects such as dystonia and pseudoparkinsonism
  3. 3. D · Thought blocking
  4. 4. C · «Вы чувствуете, что никому нет до вас дела. Расскажите подробнее».
  5. 5. B · "You feel that people here don't really know you?"
  6. 6. A · Ask in private, without the partner or family present
  7. 7. B · Water intoxication from psychogenic polydipsia
  8. 8. B · A patient with severe psychotic depression who has stopped eating and drinking

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