Сестринское дело в психиатрии: лист заданий с ответами

Зачем пациентам с алкогольной зависимостью дают тиамин (витамин B1)?

1. AЧтобы предотвратить или лечить энцефалопатию Вернике
2. BЧтобы лечить цирроз печени
3. CЧтобы алкоголь стал неприятным на вкус
4. DЧтобы уменьшить тягу к алкоголю

A patient believes that the newsreader on television is sending him personal messages. What is this called?

1. AA somatic delusion
2. BAn illusion
3. CThought insertion
4. DAn idea of reference

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. ACongruent
2. BLabile
3. CBlunted
4. DFlat

Какой набор признаков указывает на злокачественный нейролептический синдром?

1. AНабор массы тела и повышенная глюкоза крови
2. BВысокая лихорадка, выраженная ригидность мышц по типу «свинцовой трубы», спутанность, нестабильное давление и повышенная КФК
3. CГиперрефлексия, клонус, диарея, расширенные зрачки и возбуждение в течение часов после нового серотонинергического препарата
4. DМелкий тремор и усиление жажды

О чём пациента, принимающего клозапин, нужно научить немедленно сообщать?

1. AО повышенном слюноотделении ночью
2. BО желании есть больше
3. CО лёгкой сонливости после вечерней дозы
4. DО лихорадке, боли в горле или других признаках инфекции

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AArgue with him that what he sees is not real until he accepts it
2. BStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
3. CLeave him alone in a dark room so that he can sleep it off
4. DShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off

A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?

1. AInsist that nobody would steal from her
2. BTell her that her memory is the problem and that the purse is not stolen
3. CIgnore the accusation and walk away until she forgets about it
4. DStay calm, acknowledge her worry and offer to help her look for it

A patient who is detained under mental health legislation refuses his prescribed oral antipsychotic. What is the correct general principle?

1. AThe nurse may hide the medicine in his food without any further process
2. BTreatment without consent is lawful only under the conditions and procedures set by the law
3. CThe refusal must always be accepted, even if the law allows treatment without consent
4. DDetained patients have no right to refuse any treatment at all