Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
Сколько времени обычно требуется СИОЗС для полного антидепрессивного эффекта?
AОколо 1 дня
BОколо 1 года
CОколо 1 часа после приёма первой дозы
DНесколько недель (часто около 4–6 недель или дольше)
2.Лёгкая
What is the main difference between bipolar I and bipolar II disorder?
ABipolar I involves only depression; bipolar II involves only mania
BBipolar II is always more severe than bipolar I
CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
DBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
3.Лёгкая
Мужчина, которого привлекает коллега, обвиняет жену в желании завести роман. Какой это защитный механизм?
AПроекция
BРационализация
CРегрессия
DПодавление
4.Средняя
Which treatment is recommended first-line for chronic insomnia in adults?
ALong-term daily benzodiazepines
BCognitive behavioural therapy for insomnia (CBT-I)
CStaying in bed for longer each morning
DDrinking alcohol in the evening to fall asleep
5.Средняя
How may depression present differently in adolescents than in adults?
AAlways with psychotic symptoms
BWith a high fever and a rash
CWith increased energy and less need for sleep
DWith irritability rather than obvious sadness
6.Средняя
Which criteria are needed for a diagnosis of intellectual disability?
AAn IQ score alone, measured at any time in adult life
BProblems with reading only, with normal everyday functioning
CLimits in both intellectual and adaptive functioning, starting in childhood
DMemory loss and confusion that start for the first time after the age of 65
7.Сложная
A woman with PTSD after a sexual assault by a man becomes distressed when a male nurse is assigned to her. What is the most appropriate response?
AInsist that she accept the male nurse, as all staff are professional
BLeave her without a named nurse until she calms down
CTell her that she must learn to face her fears
DAssign a female nurse where possible and explain her care plan to her
8.Сложная
A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?
AAgree a simple daily routine with small, achievable activities and give positive feedback
BWait until he asks to join activities before involving him
CLet him stay in bed, because negative symptoms cannot change
DTell him firmly that he will lose his ward privileges unless he gets up and showers at once
Ответы
1. D · Несколько недель (часто около 4–6 недель или дольше)
2. C · Bipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
3. A · Проекция
4. B · Cognitive behavioural therapy for insomnia (CBT-I)
5. D · With irritability rather than obvious sadness
6. C · Limits in both intellectual and adaptive functioning, starting in childhood
7. D · Assign a female nurse where possible and explain her care plan to her
8. A · Agree a simple daily routine with small, achievable activities and give positive feedback
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