Сестринское дело в психиатрии: лист заданий с ответами

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Имя: ____________________   Дата: ____________

1.Лёгкая

In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?

  1. AAn illusion
  2. BA delusion
  3. CAn idea of reference
  4. DA hallucination
2.Лёгкая

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

  1. AHaloperidol
  2. BDantrolene
  3. CFluoxetine
  4. DLithium
3.Лёгкая

Почему медсестрам обычно следует избегать вопросов «почему», например «Почему вы так сделали?»

  1. AОни слишком открытые
  2. BОни сокращают оценку
  3. CОни могут вызвать у пациента чувство осуждения и защитную реакцию
  4. DОни всегда противозаконны
4.Средняя

What is the Abnormal Involuntary Movement Scale (AIMS) used for?

  1. ATo rate the severity of depression
  2. BTo assess the risk of a patient becoming violent
  3. CTo measure the severity of alcohol withdrawal
  4. DTo screen for and monitor tardive dyskinesia
5.Средняя

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

  1. A"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
  2. B"Of course, as long as you don't tell the other patients."
  3. C"That would be against the rules, so please stop asking about it."
  4. D"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
6.Средняя

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

  1. AThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
  2. BThese are signs of an allergic reaction, so she should never take lithium again
  3. CThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
  4. DThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
7.Сложная

During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?

  1. AEnd the meeting so the complaint is not discussed further
  2. BDiscuss the problem openly and involve patients in finding a solution
  3. CAsk the patients to write their complaints down and then do nothing
  4. DTell the patients that the rules cannot be changed
8.Сложная

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. APoor sleep, withdrawal from others and increasing suspiciousness
  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. DA better appetite and more interest in his hobbies

Ответы

  1. 1. A · An illusion
  2. 2. B · Dantrolene
  3. 3. C · Они могут вызвать у пациента чувство осуждения и защитную реакцию
  4. 4. D · To screen for and monitor tardive dyskinesia
  5. 5. D · "I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
  6. 6. A · These are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
  7. 7. B · Discuss the problem openly and involve patients in finding a solution
  8. 8. A · Poor sleep, withdrawal from others and increasing suspiciousness

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