Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
What is the CAGE questionnaire used for?
AScreening for problem drinking
BMeasuring the severity of opioid withdrawal
CRating the severity of a patient's depression
DAssessing cognitive function in older adults
2.Лёгкая
After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?
ADisplacement
BIntellectualisation
CReaction formation
DRegression
3.Лёгкая
What is the difference between empathy and sympathy?
AEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
BEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
CEmpathy is used only with children and teenagers; sympathy is used only with adult patients
DEmpathy and sympathy mean exactly the same thing in nursing
4.Средняя
Какое лекарство с наибольшей вероятностью повысит уровень лития у пациента?
AАмоксициллин
BОмепразол
CПарацетамол
DИбупрофен
5.Средняя
A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?
A"You should find a new job where people like you."
B"Why do you care what people at work think?"
C"What evidence do you have that nobody likes you?"
D"I'm sure everybody likes you."
6.Средняя
Что оценивается при исследовании психического статуса в разделе «критика» (insight)?
AСкорость речи пациента
BОриентация пациента во времени и месте
CСпособен ли пациент принимать безопасные повседневные решения о деньгах, питании и самообслуживании
DПонимает ли пациент, что у него есть психическая проблема и ему нужна помощь
7.Сложная
A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?
AArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
BStop answering her calls, because the symptoms are imaginary
CTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
DAsk the doctor to order new tests every time she reports a symptom
8.Сложная
A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?
ARefuse to give it, because she might become dependent
BAlways give it as soon as she asks, without assessment
CGive her a placebo tablet instead, without telling her, to see whether she really needs it
DAssess her anxiety each time, offer other coping strategies and give it if indicated
Ответы
1. A · Screening for problem drinking
2. B · Intellectualisation
3. A · Empathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
4. D · Ибупрофен
5. C · "What evidence do you have that nobody likes you?"
6. D · Понимает ли пациент, что у него есть психическая проблема и ему нужна помощь
7. A · Arrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
8. D · Assess her anxiety each time, offer other coping strategies and give it if indicated
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