Сестринское дело в психиатрии: лист заданий с ответами

What is separation anxiety disorder in a child?

1. AExcessive, developmentally inappropriate fear of being apart from attachment figures
2. BA lack of interest in parents and other close carers, with no distress when they leave
3. CNormal crying when a baby meets a stranger for the first time
4. DFear of social situations in which other children may laugh at them

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. ARegression
2. BReaction formation
3. CDisplacement
4. DIntellectualisation

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. ATardive dyskinesia
2. BEchopraxia
3. CWaxy flexibility
4. DAkathisia

A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?

1. A"Why do you care what people at work think?"
2. B"You should find a new job where people like you."
3. C"What evidence do you have that nobody likes you?"
4. D"I'm sure everybody likes you."

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AIt causes weight gain, so offer fewer snacks during the day
2. BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
3. CGive it just before bedtime so that it works overnight
4. DGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping

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

1. AStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
2. BAvoid all fluids so that there is less need to find a toilet
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

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. AAsk him to promise that he will not jump, and then let him go home on his own
2. BLet him leave, because voluntary patients can always go when they want
3. CTell him to go home now and come back tomorrow morning when he feels calmer and safer
4. DStay with him and inform the team at once, so he can be urgently assessed under mental health law

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

1. AReport him to the police and his employer for non-adherence to treatment
2. BAdvise him to stop it suddenly on his own and see what happens over the next month
3. CTell him he must take it for life and refuse to discuss it
4. DDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan