Сестринское дело в психиатрии: лист заданий с ответами

What is the main focus of the recovery model in mental health care?

1. ALong-term hospital care for everyone with serious mental illness
2. BHope, self-determination and living a meaningful life, even if some symptoms continue
3. CComplete removal of all symptoms before the person can start to build a good and meaningful life
4. DProfessionals making all decisions for patients for their own good

What are the core features of attention-deficit hyperactivity disorder (ADHD)?

1. ADelusions, hallucinations and disorganised speech
2. BInattention, hyperactivity and impulsivity
3. CObsessions, compulsions and repeated checking
4. DLow mood, loss of interest and poor sleep

Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?

1. ANaloxone
2. BDisulfiram
3. CFlumazenil
4. DClonidine

19-летний пациент только что начал принимать антидепрессант. За чем медсестре нужно особенно внимательно наблюдать в первые недели?

1. AЗа быстрым набором массы тела
2. BЗа выпадением волос
3. CЗа новыми или усиливающимися суицидальными мыслями или поведением
4. DЗа изменением цвета глаз

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. ATell him that he is not as important as he thinks he is
2. BArrange for only the senior doctor to see him from now on
3. CAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
4. DRespond respectfully but firmly, and keep the same expectations as for other patients

A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?

1. AChanges in arousal and reactivity
2. BAvoidance
3. CDissociative amnesia for the trauma
4. DIntrusion symptoms

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

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

A woman arrives in the emergency department after a sexual assault and has a cut on her head that is bleeding. What is the priority?

1. ACollect forensic evidence before treating any injuries
2. BCall the police and wait until they arrive before doing anything else, so that no evidence is lost by mistake
3. CAsk her for a detailed account of the assault before any care
4. DAssess and treat her physical injuries, then offer forensic examination with her consent