Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
For which patients is clozapine mainly used?
APatients with mild anxiety who need a short-term sedative
BPatients with schizophrenia that has not responded to two other antipsychotics
CPatients having their very first episode of mild psychosis
DOlder patients with dementia who become agitated and restless in the evening
2.Лёгкая
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
ASexual abuse
BPhysical abuse
CSelf-neglect by the father
DFinancial abuse
3.Лёгкая
What is the main aim of motivational interviewing?
ATo tell the person exactly what they must do to recover
BTo help the person explore and resolve their mixed feelings about change
CTo confront the person firmly until they admit they have a problem
DTo frighten the person with the worst possible health consequences of their drinking
4.Средняя
Which postpartum presentation is a psychiatric emergency?
ATiredness and worry about feeding the baby in the first week
BConfusion, hallucinations and rapidly changing mood a few days after birth
CFeeling tearful at times but enjoying the baby and sleeping well when she can
DTearfulness and mood swings on the third day after birth
5.Средняя
Какой диапазон концентрации лития в сыворотке обычно называют поддерживающим терапевтическим?
AОколо 2,0–3,0 mmol/L (более высокие уровни нужны при острой мании)
BОколо 0,6–1,2 mmol/L (целевые диапазоны различаются в разных рекомендациях)
CОколо 0,01–0,05 mmol/L
DОколо 3,5–5,0 mmol/L
6.Средняя
What must a patient be told for consent to a new psychotropic medicine to be valid?
AOnly the name of the medicine and the time of day it will be given
BOnly the benefits, so that the patient is not frightened by the side effects
CThe expected benefits, the main risks and the alternatives, including no treatment
DNothing at all, because psychiatric patients cannot give consent
7.Сложная
Пациент в изоляции кажется спящим. Что должна сделать медсестра?
AОставить пациента до следующей смены
BПрекратить наблюдение, так как пациент спит
CПродолжать наблюдение с требуемой частотой, проверяя дыхание и самочувствие
DБудить пациента каждые 5 минут, чтобы спрашивать о самочувствии и проверять дыхание
8.Сложная
A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?
AAlways give it as soon as she asks, without assessment
BAssess her anxiety each time, offer other coping strategies and give it if indicated
CRefuse to give it, because she might become dependent
DGive her a placebo tablet instead, without telling her, to see whether she really needs it
Ответы
1. B · Patients with schizophrenia that has not responded to two other antipsychotics
2. D · Financial abuse
3. B · To help the person explore and resolve their mixed feelings about change
4. B · Confusion, hallucinations and rapidly changing mood a few days after birth
5. B · Около 0,6–1,2 mmol/L (целевые диапазоны различаются в разных рекомендациях)
6. C · The expected benefits, the main risks and the alternatives, including no treatment
7. C · Продолжать наблюдение с требуемой частотой, проверяя дыхание и самочувствие
8. B · Assess her anxiety each time, offer other coping strategies and give it if indicated
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