Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
Which early feature is most typical of frontotemporal dementia?
AChanges in personality and behaviour, such as loss of inhibition
BStepwise decline after a series of small strokes
CSevere memory loss as the very first symptom, with no change in behaviour
DVisual hallucinations of people and animals
2.Лёгкая
What is the main focus of the recovery model in mental health care?
AProfessionals making all decisions for patients for their own good
BLong-term hospital care for everyone with serious mental illness
CHope, self-determination and living a meaningful life, even if some symptoms continue
DComplete removal of all symptoms before the person can start to build a good and meaningful life
3.Лёгкая
Что из перечисленного является негативным симптомом шизофрении?
AДезорганизованное поведение
BСлуховые «голоса»
CАбулия (отсутствие мотивации)
DБред преследования
4.Средняя
Какое утверждение о буспироне при тревоге верно?
AОн действует в течение минут при панической атаке, как бензодиазепин
BОн начинает действовать через недели и не подходит как препарат по требованию
CОн вызывает сильную зависимость
DЕго нужно принимать вместе с алкоголем
5.Средняя
A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?
ALook at the clock often to check how much sleep is being lost
BIf still awake after about 20 minutes, get up, do something calm and return when sleepy
CDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
DStay in bed and watch television or use a phone until sleep finally comes
6.Средняя
Which item is part of a safety plan for a person experiencing domestic violence?
AKeeping all important documents in the shared house
BTelling the abuser about plans to leave so that he can prepare
CKeeping an emergency bag with documents, money and keys somewhere safe
DAvoiding contact with friends and support services so as not to provoke him
7.Сложная
While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?
AIgnore her own reaction, because the nurse's feelings do not matter in patient care
BLeave the patient immediately and not return
CMatch the patient's level of anxiety to show empathy
DRecognise that anxiety spreads between people, and calm herself first
8.Сложная
A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?
AReport him to the police and his employer for non-adherence to treatment
BTell him he must take it for life and refuse to discuss it
CAdvise him to stop it suddenly on his own and see what happens over the next month
DDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
Ответы
1. A · Changes in personality and behaviour, such as loss of inhibition
2. C · Hope, self-determination and living a meaningful life, even if some symptoms continue
3. C · Абулия (отсутствие мотивации)
4. B · Он начинает действовать через недели и не подходит как препарат по требованию
5. B · If still awake after about 20 minutes, get up, do something calm and return when sleepy
6. C · Keeping an emergency bag with documents, money and keys somewhere safe
7. D · Recognise that anxiety spreads between people, and calm herself first
8. D · Discuss benefits and risks, decide together with the prescriber and agree a relapse plan
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