Сестринское дело в психиатрии: лист заданий с ответами

Why are benzodiazepines used with caution in older adults?

1. AThey raise blood pressure to dangerous levels after a single dose
2. BThey have no effect on the brain in older people
3. CThey cause rapid weight gain and diabetes in all older adults
4. DThey increase the risk of confusion, falls and fractures

Which type of hallucination is most common in schizophrenia?

1. ATactile
2. BOlfactory
3. CAuditory
4. DVisual

In substance use, what does "tolerance" mean?

1. ABeing able to stop using the substance at any time without symptoms
2. BNeeding more of the substance to get the same effect
3. CFeeling a strong craving to use the substance after a long period without it
4. DHaving withdrawal symptoms when the substance is stopped suddenly

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIt is a strong opioid that causes severe dependence
2. BIts anticholinergic effects can cause confusion, urine retention and falls
3. CIt raises blood pressure to dangerous levels in older adults
4. DIt has no effects at all in people over 80, so it will not help her sleep

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AIn the first weeks after discharge
2. BThere is no change in risk after discharge
3. COnly after one year at home
4. DOnly while the patient is asleep in hospital

A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?

1. A"Yes, but you're in the right place now."
2. B"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
3. C"You seem worried about what being here means. Can you tell me more?"
4. D"Of course not. Only crazy people would ask that."

A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?

1. ANaltrexone causes broken bones to heal more slowly
2. BNaltrexone blocks opioid analgesics, so pain relief needs to be planned differently
3. CNaltrexone makes opioids much stronger, so smaller doses must be used
4. DIt is not relevant, because naltrexone only affects the way the body responds to alcohol

The family of a patient with schizophrenia asks how they can tell if he is becoming unwell again. Which signs should the nurse teach them to watch for?

1. AA better appetite and more interest in his hobbies
2. BTalking more openly with his family about his feelings and his plans for the future
3. CMild dry mouth in the first week of a new medicine
4. DPoor sleep, withdrawal from others and increasing suspiciousness