Сестринское дело в психиатрии: лист заданий с ответами

In obsessive-compulsive disorder, what is an obsession?

1. AA repeated action done to reduce anxiety, such as checking a lock
2. BA recurrent, unwanted thought, urge or image that causes anxiety
3. CA false belief that is held firmly despite clear evidence that it is untrue
4. DA strong interest in a hobby that the person enjoys very much

Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?

1. AFocusing
2. BRestating
3. CExploring
4. DSummarising

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

1. AEchopraxia
2. BConfabulation
3. CEcholalia
4. DNeologism

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. AAvoid all fluids so that there is less need to find a toilet
2. BStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
3. CDrink enough fluids and avoid overheating, because the medicine can affect temperature control
4. DExercise as hard as possible in the heat to burn off the extra weight

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt is against the law in mental health settings
2. BIt suggests that the patient's choices are judged against the nurse's standards
3. CIt shows that the nurse is not listening at all
4. DIt always makes the patient angry and more likely to become aggressive towards staff

What is the CIWA-Ar scale used for?

1. AMeasuring the depth of sedation in patients on a ventilator in intensive care
2. BScreening for dementia in older adults
3. CMeasuring the risk of falls in hospital
4. DRating the severity of alcohol withdrawal to guide treatment

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
2. BThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
3. CHaloperidol will make his hallucinations more frequent
4. DHaloperidol does not work in older patients at all

A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?

1. A"Yes, I think you'd be happier without him."
2. B"No, divorce would only make things worse for you."
3. C"What are your thoughts about the options you have?"
4. D"You should ask your doctor what to do about it."