Сестринское дело в психиатрии: лист заданий с ответами

Какие побочные эффекты являются антихолинергическими?

1. AВысокая температура и сыпь
2. BСухость во рту, запор, задержка мочи и нечёткость зрения
3. CНизкая глюкоза крови и потеря массы
4. DДиарея, потливость, слезотечение и повышенное слюноотделение

Which signs suggest acute cocaine intoxication?

1. ASlurred speech, an unsteady gait and a strong smell of alcohol on the breath
2. BRed eyes, increased appetite, dry mouth and slowed reactions
3. CDilated pupils, a fast heart rate and high blood pressure
4. DPinpoint pupils, slow breathing and drowsiness

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. AExtrapyramidal side effects such as dystonia and pseudoparkinsonism
2. BLow white blood cell count
3. CRaised prolactin and breast enlargement
4. DWeight gain and raised blood glucose

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. AMemory complaints in older adults are always caused by dementia
2. BDepression in older adults can look like dementia and is treatable
3. CLow mood after the loss of a partner is always normal grief and never needs any assessment
4. DOlder adults cannot be treated for depression

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. AEncourage him to walk around the ward and join in activities to help burn off the drug
2. BTry to talk the patient down by discussing his feelings in detail
3. CPut him in a busy area so that staff can watch him more easily
4. DProvide a quiet, low-stimulation environment and keep staff and patient safe

A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?

1. AA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
2. BThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
3. CThe patient is checked every hour during the day only
4. DThe patient can be left alone while asleep

A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?

1. AGive the patient his own prescribed medicine as well, to stay on schedule
2. BAssess the patient, including his vital signs and level of sedation
3. CSay nothing, because one dose will not cause harm
4. DFill in an incident report before checking the patient

A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?

1. A"Smoking is only allowed in the garden, and that rule is the same for everyone."
2. B"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."
3. C"Well, if the others let you, I suppose it's fine this once."
4. D"I'll let you if you promise not to tell anyone else about it."