Сестринское дело в психиатрии: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
Какой препарат является селективным ингибитором обратного захвата серотонина (СИОЗС)?
AЛитий
BСертралин
CДиазепам
DГалоперидол
2.Лёгкая
Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?
ALow white blood cell count
BWeight gain and raised blood glucose
CExtrapyramidal side effects such as dystonia and pseudoparkinsonism
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?
AClang association
BFlight of ideas
CWord salad
DThought blocking
4.Средняя
Пациент говорит: «Я никчёмный. Никому нет до меня дела». Какой ответ наиболее терапевтичен?
A«Вам не следует такое говорить».
B«Это неправда; здесь все о вас заботятся».
C«Вы чувствуете, что никому нет до вас дела. Расскажите подробнее».
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?
A"Everyone here knows you well, so don't worry."
B"You feel that people here don't really know you?"
C"The doctor is very experienced, so you should trust her."
D"Why do you think the doctor is wrong about you?"
6.Средняя
How should a nurse screen a patient for intimate partner violence?
AAsk in private, without the partner or family present
BAsk the partner instead of the patient
COnly ask patients who have visible injuries
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?
AA worsening of his psychosis that needs a higher dose of antipsychotic
BWater intoxication from psychogenic polydipsia
CDehydration caused by anticholinergic side effects
DNeuroleptic malignant syndrome from his antipsychotic medicine
8.Сложная
For which patient is electroconvulsive therapy (ECT) most likely to be considered?
AA patient with mild anxiety before exams
BA patient with severe psychotic depression who has stopped eating and drinking
CA patient with a personality disorder who self-harms when stressed
DA patient with a first episode of mild depression who has not yet tried any other treatment
Ответы
1. B · Сертралин
2. C · Extrapyramidal side effects such as dystonia and pseudoparkinsonism
3. D · Thought blocking
4. C · «Вы чувствуете, что никому нет до вас дела. Расскажите подробнее».
5. B · "You feel that people here don't really know you?"
6. A · Ask in private, without the partner or family present
7. B · Water intoxication from psychogenic polydipsia
8. B · A patient with severe psychotic depression who has stopped eating and drinking
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