Сестринское дело в психиатрии: лист заданий с ответами

Which measure has good evidence for reducing suicide deaths?

1. AAvoiding the topic of suicide completely with people at risk
2. BAsking the patient to sign a no-suicide contract
3. CGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
4. DRestricting access to lethal means, such as firearms or large supplies of medicines

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo review what happened, support those involved and learn how to prevent future restraint
2. BTo punish the patient for the behaviour that led to the restraint
3. CTo decide which staff member should be blamed for the incident
4. DTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised

In behaviour therapy, what is negative reinforcement?

1. AIgnoring a behaviour so that it slowly disappears over time
2. BPunishing a behaviour with an unpleasant consequence so that it becomes less likely
3. CAdding a reward after a behaviour so that it happens more often
4. DTaking away something unpleasant after a behaviour, which makes it more likely

Which postpartum presentation is a psychiatric emergency?

1. AFeeling tearful at times but enjoying the baby and sleeping well when she can
2. BConfusion, hallucinations and rapidly changing mood a few days after birth
3. CTiredness and worry about feeding the baby in the first week
4. DTearfulness and mood swings on the third day after birth

Какой принцип применим к использованию физической фиксации?

1. AЕё можно применять для удобства персонала в загруженную смену, если это задокументировано и пересмотрено командой после
2. BЭто крайняя мера, когда менее ограничительные меры не помогли, с тщательным наблюдением и освобождением, как только это безопасно
3. CЕё не нужно документировать
4. DЕё можно применять как наказание за нарушение правил

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. AShuffling gait, mask-like face, rigidity and a resting tremor
2. BRestless pacing and an inability to sit still
3. CLip smacking, tongue thrusting and grimacing after years of treatment
4. DSudden muscle spasm of the neck with the eyes rolled upwards

A patient who stopped drinking 24 hours ago has a generalised tonic-clonic seizure in bed. What is the nurse's first action?

1. APut something in his mouth to stop him biting his tongue
2. BProtect the airway and keep him safe from injury
3. CGive oral thiamine with a glass of water
4. DRestrain his arms and legs to stop the movements

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. AGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
2. BReassure him that young people do not have heart problems
3. CTreat it as a possible heart attack, with an urgent ECG and medical review
4. DLet him rest, because the pain will pass when the drug wears off