Сестринское дело в психиатрии: лист заданий с ответами

A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?

1. AEcholalia
2. BFlight of ideas
3. CThought broadcasting
4. DThought blocking

В чём различие между подавлением и вытеснением?

1. AОба всегда сознательны
2. BПодавление бессознательно; вытеснение сознательно
3. CПодавление сознательно; вытеснение бессознательно
4. DОба являются признаками психоза

A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?

1. AAkathisia
2. BPsychomotor retardation
3. CPsychomotor agitation
4. DCatatonic excitement

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. ALet each nurse decide on the day whether to apply the rules
2. BChange the rules for this patient to avoid conflict
3. CGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
4. DState the rule and the consequence clearly, and make sure all staff apply it consistently

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

1. AAvoid his parents' advice, because staff know best how to care for him
2. BKeep to his usual routines where possible and prepare him for any changes
3. CPut him in a busy bay with lots of noise and activity to keep him stimulated
4. DChange his daily routine often, to help him get used to change

How should a nurse screen a patient for intimate partner violence?

1. AAsk the partner instead of the patient
2. BAsk in front of the partner to see how he reacts
3. CAsk in private, without the partner or family present
4. DOnly ask patients who have visible injuries

У пациентки, принимающей литий, 2 дня рвота и диарея. Теперь у неё грубый тремор и спутанность. Что должна сделать медсестра первым?

1. AДать следующую дозу с дополнительной водой
2. BДать противодиарейное средство и продолжать литий как обычно, добавив соли в рацион
3. CПропустить следующую дозу и срочно уведомить врача, чтобы определить уровень лития
4. DРекомендовать диету с низким содержанием соли

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt is acceptable as long as the patient agrees afterwards
2. BIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
3. CIt is acceptable as long as the seclusion lasts for less than an hour
4. DIt is acceptable, because it will make the ward quieter and safer for the other patients