Сестринское дело в психиатрии: лист заданий с ответами

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Имя: ____________________   Дата: ____________

1.Лёгкая

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

  1. AEcholalia
  2. BConfabulation
  3. CEchopraxia
  4. DNeologism
2.Лёгкая

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

  1. AOrientation, working and termination
  2. BAlarm, resistance and exhaustion
  3. CForming, storming and norming
  4. DDenial, anger and acceptance
3.Лёгкая

Which sequence describes the cycle of violence often seen in intimate partner abuse?

  1. ATension-building, then a calm phase that lasts for the rest of the relationship
  2. BAcute violence, then permanent separation of the partners
  3. CTension-building, acute violence, then reconciliation (the "honeymoon" phase)
  4. DReconciliation, acute violence, then tension-building with no further violence
4.Средняя

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

  1. AAvoid all fluids so that there is less need to find a toilet
  2. BStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
  3. CDrink enough fluids and avoid overheating, because the medicine can affect temperature control
  4. DExercise as hard as possible in the heat to burn off the extra weight
5.Средняя

A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?

  1. AAvoidance
  2. BDissociative amnesia for the trauma
  3. CChanges in arousal and reactivity
  4. DIntrusion symptoms
6.Средняя

Which findings suggest recent cannabis use?

  1. ASlow heart rate, constricted pupils, drooling and watery eyes
  2. BDilated pupils, high fever and severe muscle rigidity
  3. CRed eyes, increased appetite, dry mouth and a fast heart rate
  4. DPinpoint pupils, slow breathing and drowsiness
7.Сложная

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

  1. AShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge
  2. BGrab the chair from the patient quickly before he can use it
  3. CTurn her back and walk away slowly without saying anything
  4. DKeep a safe distance, call for help and avoid trying to take the chair alone
8.Сложная

A patient tells the nurse, "You're the only one I can talk to. You're much better than the other nurses." What is the most appropriate response?

  1. A"Thank you. I'll make sure I'm always the one assigned to you from now on."
  2. B"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."
  3. C"You shouldn't compare nurses. That's not fair to them, and it's rude."
  4. D"I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."

Ответы

  1. 1. A · Echolalia
  2. 2. B · Alarm, resistance and exhaustion
  3. 3. C · Tension-building, acute violence, then reconciliation (the "honeymoon" phase)
  4. 4. C · Drink enough fluids and avoid overheating, because the medicine can affect temperature control
  5. 5. C · Changes in arousal and reactivity
  6. 6. C · Red eyes, increased appetite, dry mouth and a fast heart rate
  7. 7. D · Keep a safe distance, call for help and avoid trying to take the chair alone
  8. 8. D · "I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."

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