Сестринское дело в психиатрии: лист заданий с ответами

What is separation anxiety disorder in a child?

1. ANormal crying when a baby meets a stranger for the first time
2. BExcessive, developmentally inappropriate fear of being apart from attachment figures
3. CFear of social situations in which other children may laugh at them
4. DA lack of interest in parents and other close carers, with no distress when they leave

Which group of features is typical of dementia with Lewy bodies?

1. AMemory loss only, with no other symptoms or changes in alertness for many years
2. BEarly personality change and loss of social inhibition
3. CSudden step-by-step decline after small strokes
4. DFluctuating alertness, detailed visual hallucinations and parkinsonism

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. AA visual hallucination
2. BDepersonalisation
3. CA delusion of control
4. DDerealisation

How does memantine work in Alzheimer's disease?

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

Когда следует брать кровь для измерения уровня лития у пациента?

1. AВ любое время суток, так как это не имеет значения
2. BПримерно через 12 часов после последней дозы
3. CСразу после утренней дозы
4. DЧерез 1 час после последней дозы

How should a patient with anorexia nervosa be weighed in hospital?

1. AOnly when she asks to be weighed, to respect her wishes
2. BAt a different time each day so that she cannot prepare for it
3. CIn her own clothes and shoes after breakfast, so that she feels more comfortable
4. DAt the same time, on the same scale, in a gown, after emptying the bladder

A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?

1. AStop, try again later or in a different way, and explain each step calmly
2. BGet more staff to hold him so the bath can be finished quickly
3. CSkip bathing for the rest of his stay
4. DAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative

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. BMatch the patient's level of anxiety to show empathy
3. CIgnore her own reaction, because the nurse's feelings do not matter in patient care
4. DRecognise that anxiety spreads between people, and calm herself first