Сестринское дело в психиатрии: лист заданий с ответами

Which signs suggest acute cocaine intoxication?

1. ARed eyes, increased appetite, dry mouth and slowed reactions
2. BSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
3. CDilated pupils, a fast heart rate and high blood pressure
4. DPinpoint pupils, slow breathing and drowsiness

In obsessive-compulsive disorder, what is an obsession?

1. AA strong interest in a hobby that the person enjoys very much
2. BA recurrent, unwanted thought, urge or image that causes anxiety
3. CA false belief that is held firmly despite clear evidence that it is untrue
4. DA repeated action done to reduce anxiety, such as checking a lock

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. ASeizures with loss of consciousness during sleep
2. BInvoluntary swearing in almost every sentence as the main and only symptom
3. CA single motor tic that lasts for 2 weeks in an adult
4. DSeveral motor tics and at least one vocal tic for over a year, starting before 18

How may depression present differently in adolescents than in adults?

1. AAlways with psychotic symptoms
2. BWith irritability rather than obvious sadness
3. CWith a high fever and a rash
4. DWith increased energy and less need for sleep

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
2. BIt is safe in pregnancy and needs no special precautions
3. CIt must be taken with grapefruit juice to be absorbed
4. DIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. AHyperthyroidism
2. BHypothyroidism
3. CAgranulocytosis
4. DSerotonin syndrome

The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?

1. AFamily-based treatment, in which the parents take an active role in restoring the child's eating
2. BLong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere
3. CMedicine alone, because therapy is not effective in adolescents
4. DLeaving the young person to decide on her own when to start eating more

A patient who used methamphetamine heavily for weeks stopped 2 days ago. He sleeps most of the day, is very low and says life is pointless. What is the priority?

1. AGive a stimulant to relieve the low mood
2. BEncourage him to exercise hard to raise his energy
3. CAssess his suicide risk
4. DWake him often so that his sleep pattern returns to normal