Сестринское дело в психиатрии: лист заданий с ответами

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

1. ASuppression
2. BIdentification
3. CProjection
4. DRationalisation

What is hoarding disorder?

1. APersistent difficulty throwing things away, so that clutter fills the living space
2. BRepeated checking that all the doors and windows are locked before leaving the house each day
3. CCollecting a few favourite objects as a hobby that the person enjoys
4. DFear of leaving the home because of crowds and public transport

In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?

1. AAltruism
2. BUniversality
3. CCatharsis
4. DInstillation of hope

Which question is the best way to ask a patient about suicidal thoughts?

1. A"You wouldn't hurt yourself, would you?"
2. B"Are you having thoughts of killing yourself?"
3. C"You're not thinking of doing anything silly, are you?"
4. D"Things aren't that bad, are they?"

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. ASerotonin syndrome
2. BA relapse of her depression into a severe psychotic depression
3. CAntidepressant discontinuation syndrome
4. DNeuroleptic malignant syndrome

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. BFrequent criticism, hostility and emotional over-involvement
3. CCalm, supportive and warm communication
4. DRegular contact with the care team and other families

While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?

1. ALeave the patient immediately and not return
2. BRecognise that anxiety spreads between people, and calm herself first
3. CIgnore her own reaction, because the nurse's feelings do not matter in patient care
4. DMatch the patient's level of anxiety to show empathy

A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?

1. A"Smoking is only allowed in the garden, and that rule is the same for everyone."
2. B"I'll let you if you promise not to tell anyone else about it."
3. C"Well, if the others let you, I suppose it's fine this once."
4. D"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."