Сестринское дело в психиатрии: лист заданий с ответами

What is "enabling" in the context of substance use?

1. ASetting firm limits on what behaviour the family will accept in the home from now on
2. BGiving the person information about the effects of the substance
3. CBehaviour by others that protects the person from the consequences of their use
4. DHelping the person to attend a treatment programme on time

What type of drug is methadone, used in the treatment of opioid dependence?

1. AA non-addictive stimulant that reduces opioid craving
2. BAn opioid antagonist that blocks all opioid effects
3. CA benzodiazepine that reduces anxiety during withdrawal
4. DA long-acting full opioid agonist

In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?

1. A2 weeks
2. B2 years
3. C6 weeks
4. D2 months

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. AOffer the oral medicine first, before considering an injection
2. BGive an intramuscular injection at once without offering any choice
3. CHide the medicine in his drink without telling him
4. DPlace him in seclusion and then decide about medicine later

Which activity is most suitable for a patient in an acute manic episode?

1. AA long group discussion in the day room
2. BA complicated board game such as chess with other patients
3. CA competitive team game of volleyball
4. DA walk with a staff member

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. ASerum lithium level
2. BUrine drug screen only
3. CAn MRI of the knee
4. DThyroid function tests

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. AWater intoxication from psychogenic polydipsia
2. BNeuroleptic malignant syndrome from his antipsychotic medicine
3. CDehydration caused by anticholinergic side effects
4. DA worsening of his psychosis that needs a higher dose of antipsychotic

Пациенту с алкогольной зависимостью и недостаточным питанием нужна внутривенная инфузия глюкозы. Какое назначение медсестра должна ожидать в первую очередь?

1. AСначала глюкоза, тиамин через неделю
2. BТиамин до или одновременно с глюкозой
3. CГлюкоза без замещения витаминов
4. DДиуретик