Сестринское дело в психиатрии: лист заданий с ответами

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. AFluoxetine
2. BLithium
3. CDantrolene
4. DHaloperidol

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AReport the concern according to child protection procedures
2. BWait until there is clear proof before telling anyone
3. CConfront the parents and ask them directly whether they hurt the child
4. DInvestigate the family alone at home before reporting

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAphasia
2. BApraxia
3. CAkathisia
4. DAmnesia

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

1. AThere is no interaction between these two drugs
2. BIncreased sedation and respiratory depression
3. CThe combination will cause high blood pressure
4. DThe diazepam will block the pain-relieving effect of oxycodone

A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?

1. ARaised prolactin
2. BRaised blood calcium
3. CLow blood sodium
4. DLow thyroid hormone

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. ASerum lithium level
2. BUrine drug screen only
3. CAn MRI of the knee
4. DThyroid function tests

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. AArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
2. BTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
3. CStop answering her calls, because the symptoms are imaginary
4. DAsk the doctor to order new tests every time she reports a symptom

Пациента находят без реакции, частота дыхания 6/мин, зрачки точечные. Что должна сделать медсестра первым?

1. AДать большой стакан воды
2. BПозвать на помощь, обеспечить проходимость дыхательных путей и поддержать дыхание, ввести налоксон по назначению или протоколу
3. CВвести флумазенил
4. DУложить пациента в устойчивое боковое положение и ждать, пока он проснётся сам, прежде чем кого-либо звать