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. AUndoing
2. BDisplacement
3. CCompensation
4. DRegression

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. AMind reading
2. BEmotional reasoning
3. CPersonalisation
4. DCatastrophising

Каковы, по Пеплау, основные фазы отношений «медсестра–пациент»?

1. AОценка, диагноз и оценка результатов
2. BОтрицание, гнев и принятие
3. CОриентация, работа и завершение
4. DПоступление, лечение и выписка

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"If you speak to me like that, I'm leaving."
2. B"You shouldn't talk to people like that."
3. C"That's not true. I've helped you all day."
4. D"You sound very angry. Tell me what has happened."

What is the CIWA-Ar scale used for?

1. AMeasuring the depth of sedation in patients on a ventilator in intensive care
2. BScreening for dementia in older adults
3. CMeasuring the risk of falls in hospital
4. DRating the severity of alcohol withdrawal to guide treatment

A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?

1. ATell the patient that talking is required to be discharged
2. BLeave the patient alone until he asks to talk
3. CSpend short, regular periods with the patient without forcing conversation
4. DAsk a series of direct questions until he answers

Вскоре после введения галоперидола голова пациента повёрнута в сторону, глаза зафиксированы вверх, и он жалуется на ощущение сжатия в горле. Что должна сделать медсестра первым?

1. AУспокоить его, что это тревога перед новым препаратом, и оставить спокойно отдыхать одного
2. BСрочно вызвать врача и ввести назначенный антихолинергический препарат, следя за проходимостью дыхательных путей
3. CПредложить растянуть шею
4. DДать ещё одну дозу галоперидола

During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?

1. AShare details about the nurse's family to build a friendship
2. BIgnore the question completely and stay silent until the patient changes the subject
3. CEnd the session because personal questions are not allowed
4. DAnswer briefly or decline politely, then return the focus to the patient