Сестринское дело в психиатрии: лист заданий с ответами

6-летний мальчик в больнице снова начинает сосать палец и мочиться в постель. Какой это защитный механизм?

1. AИнтеллектуализация
2. BРегрессия
3. CСублимация
4. DПроекция

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. ASchizophrenia
2. BAlzheimer's disease
3. CAttention-deficit hyperactivity disorder
4. DBorderline personality disorder

What is hoarding disorder?

1. ACollecting a few favourite objects as a hobby that the person enjoys
2. BRepeated checking that all the doors and windows are locked before leaving the house each day
3. CFear of leaving the home because of crowds and public transport
4. DPersistent difficulty throwing things away, so that clutter fills the living space

What should a patient taking chlorpromazine be taught about sun exposure?

1. ASunbathe for longer each day to improve mood
2. BAvoid going outside at all, even in winter, for the rest of his life
3. CUse sunscreen and protective clothing, because the skin may burn easily
4. DSun exposure has no effect while taking this medicine

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 always makes the patient angry and more likely to become aggressive towards staff
3. CIt shows that the nurse is not listening at all
4. DIt suggests that the patient's choices are judged against the nurse's standards

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ATell her that her beliefs are not real
2. BAvoid asking about it, because culture is not relevant to mental health
3. CExplore the experience in her cultural context before calling it a symptom
4. DRecord it immediately as a command hallucination

A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?

1. ATell her loudly in front of everyone that she must stop
2. BCall security to remove her from the ward
3. CAsk the other patients to ignore her and carry on
4. DCalmly cover her and guide her to her room or a quiet area

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