Сестринское дело в психиатрии: лист заданий с ответами

What is "enabling" in the context of substance use?

1. ASetting firm limits on what behaviour the family will accept in the home from now on
2. BBehaviour by others that protects the person from the consequences of their use
3. CGiving the person information about the effects of the substance
4. DHelping the person to attend a treatment programme on time

For which patients is clozapine mainly used?

1. AOlder patients with dementia who become agitated and restless in the evening
2. BPatients with mild anxiety who need a short-term sedative
3. CPatients having their very first episode of mild psychosis
4. DPatients with schizophrenia that has not responded to two other antipsychotics

Какие побочные эффекты являются антихолинергическими?

1. AНизкая глюкоза крови и потеря массы
2. BВысокая температура и сыпь
3. CДиарея, потливость, слезотечение и повышенное слюноотделение
4. DСухость во рту, запор, задержка мочи и нечёткость зрения

A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?

1. ASplitting by the patient
2. BTransference
3. CDiagnostic overshadowing
4. DPositive reinforcement

Which side effects should the nurse monitor for in a patient starting donepezil?

1. ATremor, thirst and passing large amounts of urine
2. BNausea, diarrhoea and a slow heart rate
3. CWeight gain and high blood glucose
4. DDry mouth, constipation and urinary retention

Which treatment is recommended first-line for chronic insomnia in adults?

1. ADrinking alcohol in the evening to fall asleep
2. BLong-term daily benzodiazepines
3. CStaying in bed for longer each morning
4. DCognitive behavioural therapy for insomnia (CBT-I)

Через две недели после начала СИОЗС пациент говорит: «Это не работает. Я перестану его принимать». Каков лучший ответ?

1. AОбъяснить, что для полного эффекта часто нужно несколько недель, побудить продолжать приём и наблюдать за настроением и безопасностью
2. BСогласиться, что нужно немедленно прекратить, так как антидепрессант, не помогший за две недели, вряд ли когда-либо поможет
3. CСказать, что антидепрессанты никогда не работают
4. DСказать удвоить дозу

An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?

1. ALet a parent stay with him in class every day for the rest of the year
2. BAllow him to stay at home until he wants to go back
3. CSupport a gradual, planned return to school with a consistent goodbye routine
4. DTell him that he is being silly and must go