Сестринское дело в психиатрии: лист заданий с ответами

В чём различие между настроением и аффектом при исследовании психического статуса?

1. AНастроение описывает мышление; аффект описывает память
2. BНастроение — то, что наблюдает медсестра у пациента; аффект — то, что пациент сообщает о своих чувствах
3. CНастроение и аффект означают абсолютно одно и то же
4. DНастроение — то, что пациент сообщает о своих чувствах; аффект — эмоция, которую наблюдает медсестра

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. APersonalisation
2. BCatastrophising
3. CEmotional reasoning
4. DAll-or-nothing thinking

Каков наиболее серьёзный гематологический риск клозапина?

1. AПовышение тромбоцитов
2. BПолицитемия
3. CПерегрузка железом
4. DАгранулоцитоз (тяжёлая нейтропения)

A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?

1. AErotomanic
2. BGrandiose
3. CSomatic
4. DNihilistic

A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?

1. A"What evidence do you have that nobody likes you?"
2. B"You should find a new job where people like you."
3. C"I'm sure everybody likes you."
4. D"Why do you care what people at work think?"

What is the main advantage of a long-acting injectable antipsychotic?

1. AIt cures schizophrenia after a fixed course of injections
2. BIt works faster than any oral antipsychotic in an acute crisis
3. CIt has no side effects, unlike the oral forms of the same antipsychotic drugs
4. DIt improves adherence because the patient does not need to take daily tablets

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. AAssess her anxiety each time, offer other coping strategies and give it if indicated
2. BGive her a placebo tablet instead, without telling her, to see whether she really needs it
3. CRefuse to give it, because she might become dependent
4. DAlways give it as soon as she asks, without assessment

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

1. AAgree to assign Anna to her every day so that she stays safe
2. BTell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
3. CIgnore the threat, because she is only trying to manipulate staff
4. DTake the statement seriously, assess her risk and explain that nursing assignments are decided by the team