Сестринское дело в психиатрии: лист заданий с ответами

What is agoraphobia?

1. AFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
2. BFear of being judged or embarrassed while speaking or eating in front of others
3. CFear of one specific object or animal, such as spiders, dogs or snakes
4. DFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. ASuppression
2. BRationalisation
3. CProjection
4. DIdentification

Человек, испытывающий сильную враждебность к соседу, чрезмерно дружелюбен и щедр с ним. Какой это защитный механизм?

1. AРеактивное образование
2. BКомпенсация
3. CОтрицание
4. DСмещение

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. APossible boundary problems that she should discuss in supervision
2. BTransference by the patient towards the nurse, which is never the nurse's concern
3. CThat the patient needs to be transferred to another unit
4. DAn ideal therapeutic relationship

Which pattern suggests premenstrual dysphoric disorder?

1. AMild bloating the day before a period, without any mood changes
2. BMarked mood symptoms in the week before menstruation that improve within a few days after it starts
3. CMood symptoms that begin only after the menopause and last for several years
4. DLow mood throughout the whole month that is not linked to the menstrual cycle

How does memantine work in Alzheimer's disease?

1. AIt inhibits the breakdown of acetylcholine
2. BIt blocks NMDA glutamate receptors
3. CIt increases serotonin by blocking its reuptake
4. DIt blocks dopamine D₂ receptors

Six weeks after losing his job, a man feels low and worried and is sleeping a little less, but he still enjoys time with his children and does not meet the criteria for major depression. Which diagnosis fits best?

1. ABipolar II disorder
2. BPersistent depressive disorder
3. CAdjustment disorder with depressed mood
4. DMajor depressive disorder

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. AStop the fluoxetine at once and tell the prescriber at his next appointment
2. BDrink a small glass of wine or beer before bed to help him fall asleep
3. CDiscuss with the prescriber whether he can take it in the morning instead
4. DTake a double dose at night to make him sleepy