Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
How does binge-eating disorder differ from bulimia nervosa?
AThe person always has a very low body weight and a fear of gaining weight
BBinges happen only once a year, so they are not a problem
CThere are no regular compensatory behaviours, such as vomiting or laxative use
DThe person never feels a loss of control while eating
2.Лёгкая
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
APsychomotor retardation
BCatatonic excitement
CPsychomotor agitation
DAkathisia
3.Лёгкая
According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?
AAt least 2 days
BAt least 2 weeks
CAt least 2 years
DAt least 6 months
4.Средняя
What should a patient starting zolpidem for insomnia be taught to report?
AFeeling slightly more rested and alert the next morning than before starting the medicine
BFeeling sleepy about 30 minutes after taking it at bedtime
CDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
DSleeping through the night without waking up
5.Средняя
How does aripiprazole differ from most other antipsychotics?
AIt has no effect on dopamine at all
BIt is a partial agonist at dopamine D2 receptors
CIt is a benzodiazepine with antipsychotic effects
DIt needs weekly white blood cell counts for safety
6.Средняя
A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?
AAnorexia; dangerously low body weight and bradycardia
BPica; poisoning such as lead toxicity, or bowel obstruction
CARFID; the risk of choking on food
DBulimia; severe hypokalaemia from vomiting
7.Сложная
According to DSM-5, which childhood condition is a requirement for a later diagnosis of antisocial personality disorder?
AEvidence of conduct disorder starting before age 15
BAutism spectrum disorder diagnosed before school age
CSeparation anxiety disorder in early childhood
DA diagnosis of ADHD before age 7
8.Сложная
The parent of a child recently diagnosed with autism asks, "Did his vaccines cause this?" What is the most accurate response?
A"Large studies have found no link between vaccines and autism."
B"We don't know, so it is best to stop all of his other vaccines."
C"Yes, the MMR vaccine is a proven cause of autism."
D"Autism is caused by cold and distant parenting styles in early childhood."
Ответы
1. C · There are no regular compensatory behaviours, such as vomiting or laxative use
2. A · Psychomotor retardation
3. B · At least 2 weeks
4. C · Doing things while not fully awake, such as sleepwalking or driving, with no memory of it
5. B · It is a partial agonist at dopamine D2 receptors
6. B · Pica; poisoning such as lead toxicity, or bowel obstruction
7. A · Evidence of conduct disorder starting before age 15
8. A · "Large studies have found no link between vaccines and autism."
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