Сестринское дело в психиатрии: лист заданий с ответами

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Имя: ____________________   Дата: ____________

1.Лёгкая

What is a psychiatric advance directive (advance statement)?

  1. AA contract in which the patient promises the team to take every prescribed medicine for life
  2. BA note from the doctor that lists the patient's diagnoses
  3. CA document in which a person states their treatment wishes for a time when they may lack capacity
  4. DA court order that allows a patient to be detained in hospital
2.Лёгкая

Мужчина, которого привлекает коллега, обвиняет жену в желании завести роман. Какой это защитный механизм?

  1. AРегрессия
  2. BРационализация
  3. CПодавление
  4. DПроекция
3.Лёгкая

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

  1. ADepersonalisation
  2. BA delusion of control
  3. CA visual hallucination
  4. DDerealisation
4.Средняя

A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?

  1. ADrink a cup of strong coffee before getting out of bed each morning
  2. BGet up quickly to get the blood flowing to the brain
  3. CStop the medicine if the dizziness happens more than once
  4. DSit on the edge of the bed for a moment and then stand up slowly
5.Средняя

19-летний пациент только что начал принимать антидепрессант. За чем медсестре нужно особенно внимательно наблюдать в первые недели?

  1. AЗа быстрым набором массы тела
  2. BЗа новыми или усиливающимися суицидальными мыслями или поведением
  3. CЗа изменением цвета глаз
  4. DЗа выпадением волос
6.Средняя

How may depression present differently in adolescents than in adults?

  1. AAlways with psychotic symptoms
  2. BWith increased energy and less need for sleep
  3. CWith irritability rather than obvious sadness
  4. DWith a high fever and a rash
7.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"You shouldn't compare nurses. That's not fair to them, and it's rude."
  3. C"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."
  4. D"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."
8.Сложная

During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?

  1. AAsk the patients to write their complaints down and then do nothing
  2. BTell the patients that the rules cannot be changed
  3. CDiscuss the problem openly and involve patients in finding a solution
  4. DEnd the meeting so the complaint is not discussed further

Ответы

  1. 1. C · A document in which a person states their treatment wishes for a time when they may lack capacity
  2. 2. D · Проекция
  3. 3. A · Depersonalisation
  4. 4. D · Sit on the edge of the bed for a moment and then stand up slowly
  5. 5. B · За новыми или усиливающимися суицидальными мыслями или поведением
  6. 6. C · With irritability rather than obvious sadness
  7. 7. C · "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."
  8. 8. C · Discuss the problem openly and involve patients in finding a solution

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