Сестринское дело в психиатрии: лист заданий с ответами

What is the main focus of the recovery model in mental health care?

1. ALong-term hospital care for everyone with serious mental illness
2. BComplete removal of all symptoms before the person can start to build a good and meaningful life
3. CHope, self-determination and living a meaningful life, even if some symptoms continue
4. DProfessionals making all decisions for patients for their own good

In behaviour therapy, what is negative reinforcement?

1. APunishing a behaviour with an unpleasant consequence so that it becomes less likely
2. BAdding a reward after a behaviour so that it happens more often
3. CTaking away something unpleasant after a behaviour, which makes it more likely
4. DIgnoring a behaviour so that it slowly disappears over time

What is conversion disorder (functional neurological symptom disorder)?

1. AA belief that one has a serious illness without having any symptoms
2. BDeliberately faking symptoms to get money or avoid work
3. CNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
4. DA condition in which the person has two or more distinct identities, with gaps in memory between them

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

According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?

1. AA patient who wants to find a new hobby
2. BA patient who feels lonely and wants more visitors
3. CA patient who wants to improve her self-esteem
4. DA patient who has not eaten or drunk anything for two days

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
2. BIt is safe in pregnancy and needs no special precautions
3. CIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
4. DIt must be taken with grapefruit juice to be absorbed

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
2. BReduce monitoring, because a higher score on this scale means that his withdrawal is improving
3. CWait for the next routine score in four hours before deciding
4. DEncourage him to drink a large glass of wine to settle the symptoms

Через две недели после начала СИОЗС пациент говорит: «Это не работает. Я перестану его принимать». Каков лучший ответ?

1. AОбъяснить, что для полного эффекта часто нужно несколько недель, побудить продолжать приём и наблюдать за настроением и безопасностью
2. BСказать удвоить дозу
3. CСказать, что антидепрессанты никогда не работают
4. DСогласиться, что нужно немедленно прекратить, так как антидепрессант, не помогший за две недели, вряд ли когда-либо поможет