Сестринское дело в психиатрии: лист заданий с ответами

When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?

1. AConcrete thinking
2. BTangential thinking
3. CFlight of ideas
4. DThought blocking

Which advice is part of good sleep hygiene?

1. AUse a phone or tablet in bed until you feel tired enough to sleep
2. BHave a large meal and a strong coffee just before going to bed
3. CGet up at the same time each day and avoid caffeine later in the day
4. DTake long naps in the afternoon to make up for any lost sleep at night

What are the two core areas affected in autism spectrum disorder?

1. AReading and writing only, with completely normal social skills and play
2. BMood and appetite, which change with the seasons
3. CSocial communication and interaction, and restricted, repetitive behaviours or interests
4. DMemory and orientation to time and place

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
2. BLeave him alone in a dark room so that he can sleep it off
3. CArgue with him that what he sees is not real until he accepts it
4. DStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass

Which side effects should the nurse monitor for in a patient starting donepezil?

1. ATremor, thirst and passing large amounts of urine
2. BDry mouth, constipation and urinary retention
3. CWeight gain and high blood glucose
4. DNausea, diarrhoea and a slow heart rate

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AScold her for breaking the ward rules and remove all her privileges
2. BTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
3. CIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
4. DGive her a lot of extra attention for the rest of the day

A patient who was admitted after a serious suicide attempt says, "I'm angry they saved me. Next time I'll do it properly." What should the nurse do?

1. AMaintain close observation, report the statement and reassess the risk with the team
2. BReduce observation because he is talking openly about his feelings
3. CTell him that he should be grateful to be alive and think about how his family would feel
4. DChange the subject to something more positive, such as his family and his plans for after discharge

A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?

1. AAvoid the patient and let other staff do all of his care
2. BIgnore the feeling, because feelings do not affect nursing care
3. CRecognise this as countertransference and discuss it in clinical supervision
4. DTell the patient that he reminds her of her father