Сестринское дело в психиатрии: лист заданий с ответами

Литий в основном применяют для лечения:

1. AАлкогольной абстиненции
2. BПанических атак как быстродействующего средства
3. CШизофрении как препарата первой линии
4. DБиполярного расстройства

Bupropion is used as an antidepressant in some countries, such as the US. What else is it commonly used for?

1. AHelping people stop smoking
2. BReversing opioid overdose
3. CTreating alcohol withdrawal seizures
4. DTreating acute mania

A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?

1. AReflecting feelings
2. BChanging the subject
3. CPresenting reality
4. DGiving approval

A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?

1. AYoung children often do not yet see death as permanent, so simple, honest words help
2. BThe child is in denial and needs psychiatric treatment
3. CThe child should not be told anything about the death until she is older
4. DThe child does not care about her grandmother and has not been affected by the death

Какой побочный эффект клозапина может быть угрожающим жизни и часто упускается из виду?

1. AСонливость
2. BПовышенное слюноотделение
3. CЛёгкий набор массы тела
4. DТяжёлый запор, ведущий к кишечной непроходимости

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. AValproate raises lamotrigine levels, which increases the risk of a serious rash
2. BLamotrigine will lower the valproate level until it has no effect
3. CValproate makes lamotrigine work faster, so the dose must be increased quickly
4. DThe two drugs together cause severe hair growth

A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?

1. ADischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
2. BAccept the parents' explanation, because babies often fall
3. CReport the concerns through child protection procedures and ensure the child's safety
4. DTell the parents that the nurse knows they are abusing the child

On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?

1. ATell her that antidepressants must be started at once
2. BExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
3. CArrange an emergency psychiatric admission today
4. DAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover