Сестринское дело в психиатрии: лист заданий с ответами

A boy who is not good at sport works very hard to become the best student in his class. Which defence mechanism is this?

1. ADisplacement
2. BCompensation
3. CRegression
4. DUndoing

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 decide which staff member should be blamed for the incident
3. CTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
4. DTo punish the patient for the behaviour that led to the restraint

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. AFluoxetine
2. BDantrolene
3. CLithium
4. DHaloperidol

In a therapy group, one member talks constantly and interrupts others. What should the group leader do?

1. AAsk the member to leave the group permanently so that others can speak
2. BCriticise the member in front of the whole group so that she learns to stay quiet
3. CAcknowledge the member's contribution and invite others to share their views
4. DLet the member continue, because she has a lot to say

Which effects of methadone should the nurse monitor for?

1. AHair loss, weight loss and a painful red rash on the face
2. BRespiratory depression, sedation and a prolonged QT interval
3. CHypertensive crisis after eating aged cheese
4. DAgranulocytosis and a sore throat

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. AEncouraging the patient to take part in activities
2. BCalm, supportive and warm communication
3. CFrequent criticism, hostility and emotional over-involvement
4. DRegular contact with the care team and other families

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

A patient who used methamphetamine heavily for weeks stopped 2 days ago. He sleeps most of the day, is very low and says life is pointless. What is the priority?

1. AGive a stimulant to relieve the low mood
2. BAssess his suicide risk
3. CEncourage him to exercise hard to raise his energy
4. DWake him often so that his sleep pattern returns to normal