Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

Передозировка опиоидов купирована налоксоном, и пациент теперь в сознании. Почему за ним всё равно нужно внимательно наблюдать?

  1. AНалоксон может перестать действовать раньше опиоида, и дыхание снова может замедлиться
  2. BНалоксон удваивает длительность действия опиоида
  3. CЗа ним не нужно наблюдать, как только он в сознании
  4. DСам налоксон вызывает замедление дыхания через несколько часов по мере расщепления
2.Лёгкая

According to Erikson, what is the main psychosocial task of adolescence?

  1. AIdentity versus role confusion
  2. BTrust versus mistrust
  3. CIndustry versus inferiority
  4. DIntegrity versus despair
3.Лёгкая

After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?

  1. ADenial
  2. BProjection
  3. CSublimation
  4. DUndoing
4.Средняя

A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?

  1. AA dangerous rise in blood pressure after eating foods that contain tyramine
  2. BNew or worsening suicidal thoughts or unusual changes in mood or behaviour
  3. CSevere weight gain in the first week
  4. DSigns of physical dependence, because it is a controlled stimulant
5.Средняя

Which goal for a patient with depression is written in a SMART way?

  1. A"The patient will walk with staff for 15 minutes once a day by Friday."
  2. B"The patient will improve her mood and sleep and start exercising more at some point."
  3. C"The patient will feel better soon."
  4. D"The patient will be happier."
6.Средняя

Which statement about benzodiazepines in anxiety disorders is correct?

  1. AThey give rapid relief but are generally used only short-term because of tolerance and dependence
  2. BThey are safe to stop suddenly after many months of daily use
  3. CThey are the preferred long-term treatment for generalised anxiety disorder
  4. DThey take 4–6 weeks to have any effect on anxiety, like antidepressants
7.Сложная

A depressed patient says, "I don't enjoy anything any more, so there's no point in doing anything." Which intervention best reflects behavioural activation?

  1. AEncourage him to rest in bed as much as possible until the medicine works
  2. BPlan small, scheduled activities with him and review how he felt afterwards
  3. CTell him that his thoughts are irrational and he should stop thinking that way
  4. DWait until his mood improves before suggesting activities
8.Сложная

A patient with anorexia nervosa is admitted with a BMI of 14, dizziness and low potassium. Which goal is the priority in the first days?

  1. AImproving body image through group discussions
  2. BGaining insight into family relationships through therapy
  3. CPlanning her return to university and her studies after discharge
  4. DMedical stabilisation, with careful refeeding and correction of electrolytes

Ответы

  1. 1. A · Налоксон может перестать действовать раньше опиоида, и дыхание снова может замедлиться
  2. 2. A · Identity versus role confusion
  3. 3. D · Undoing
  4. 4. B · New or worsening suicidal thoughts or unusual changes in mood or behaviour
  5. 5. A · "The patient will walk with staff for 15 minutes once a day by Friday."
  6. 6. A · They give rapid relief but are generally used only short-term because of tolerance and dependence
  7. 7. B · Plan small, scheduled activities with him and review how he felt afterwards
  8. 8. D · Medical stabilisation, with careful refeeding and correction of electrolytes

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