Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?
ASeeking clarification
BDefending
CReflecting
DOffering self
2.Лёгкая
What is conversion disorder (functional neurological symptom disorder)?
ADeliberately faking symptoms to get money or avoid work
BA condition in which the person has two or more distinct identities, with gaps in memory between them
CNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
DA belief that one has a serious illness without having any symptoms
3.Лёгкая
A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?
AReflecting feelings
BOffering self
CGiving recognition
DSeeking clarification
4.Средняя
What should a patient starting zolpidem for insomnia be taught to report?
ADoing things while not fully awake, such as sleepwalking or driving, with no memory of it
BFeeling slightly more rested and alert the next morning than before starting the medicine
CSleeping through the night without waking up
DFeeling sleepy about 30 minutes after taking it at bedtime
5.Средняя
Пациент в маниакальном эпизоде слишком занят, чтобы сесть и поесть. Как лучше поддержать питание?
AНастаивать, чтобы пациент сидел за столом 1 час
BПредложить большой обед из трёх блюд в оживлённой столовой в обычное время приёма пищи
CПодождать, пока пациент сам попросит еду
DПредлагать высококалорийную еду, которую можно есть руками, и напитки, которые можно употреблять на ходу
6.Средняя
A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?
AIllness anxiety disorder
BFactitious disorder
CSomatic symptom disorder
DConversion disorder
7.Сложная
A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?
AThat she needs an antipsychotic to control her behaviour
BThat she is trying to manipulate the staff
CThat the behaviour is part of her disability and needs no assessment
DA physical cause such as dental pain, an ear infection or constipation
8.Сложная
A man has odd beliefs about being able to read minds, dresses eccentrically and has few friends because others make him anxious. He has never had sustained hallucinations or delusions. Which diagnosis fits best?
AHistrionic personality disorder with odd dress
BAntisocial personality disorder
CSchizophrenia
DSchizotypal personality disorder
Ответы
1. B · Defending
2. C · Neurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
3. D · Seeking clarification
4. A · Doing things while not fully awake, such as sleepwalking or driving, with no memory of it
5. D · Предлагать высококалорийную еду, которую можно есть руками, и напитки, которые можно употреблять на ходу
6. A · Illness anxiety disorder
7. D · A physical cause such as dental pain, an ear infection or constipation
8. D · Schizotypal personality disorder
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