Сестринское дело в психиатрии: лист заданий с ответами

A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?

1. AFocusing
2. BChanging the subject
3. CRestating
4. DSummarising

According to Erikson, what is the main psychosocial task of adolescence?

1. AIndustry versus inferiority
2. BIntegrity versus despair
3. CTrust versus mistrust
4. DIdentity versus role confusion

Что такое поздняя дискинезия?

1. AВысокая лихорадка с мышечной ригидностью
2. BБеспокойство и невозможность усидеть на месте в первые дни
3. CВнезапный болезненный мышечный спазм шеи, языка или глаз в течение часов или дней после первой дозы
4. DНепроизвольные движения, часто рта, языка и лица, после длительного применения антипсихотиков

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are signs of an allergic reaction, so she should never take lithium again
2. BThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
3. CThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
4. DThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. AEncouraging the patient to take part in activities
2. BRegular contact with the care team and other families
3. CCalm, supportive and warm communication
4. DFrequent criticism, hostility and emotional over-involvement

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

1. ANausea, diarrhoea and a slow heart rate
2. BTremor, thirst and passing large amounts of urine
3. CDry mouth, constipation and urinary retention
4. DWeight gain and high blood glucose

A patient in acute mania has slept for 2 hours in 3 nights, is losing weight and is pacing constantly. Which nursing concern is the priority?

1. ALack of knowledge about the illness
2. BRisk of physical exhaustion and injury
3. CDisturbed relationships with her family
4. DLow self-esteem

During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?

1. AEnd the session because personal questions are not allowed
2. BIgnore the question completely and stay silent until the patient changes the subject
3. CShare details about the nurse's family to build a friendship
4. DAnswer briefly or decline politely, then return the focus to the patient