Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

  1. AGiving advice
  2. BVoicing doubt
  3. CSummarising
  4. DRestating
2.Лёгкая

In a mental status examination, what does assessing orientation check?

  1. AWhether the patient's mood matches the facial expression and tone of voice
  2. BWhether the patient knows the time, the place and who they are
  3. CWhether the patient can interpret proverbs and explain their meaning
  4. DWhether the patient understands that they are ill and needs treatment for it
3.Лёгкая

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

  1. AA dry cough
  2. BA painful erection that does not go away
  3. CDarkening of the skin on the hands and face
  4. DRinging in the ears
4.Средняя

Which US legal case is associated with the duty of mental health professionals to protect people who are threatened by a patient?

  1. ATarasoff v Regents of the University of California
  2. BBrown v Board of Education
  3. CMiranda v Arizona
  4. DRoe v Wade
5.Средняя

A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?

  1. ADissociative amnesia for the trauma
  2. BAvoidance
  3. CIntrusion symptoms
  4. DChanges in arousal and reactivity
6.Средняя

Which action reflects trauma-informed care?

  1. AUsing physical restraint early to prevent any loss of control
  2. BAsking the patient to repeat the full trauma story to each new staff member
  3. CMaking all decisions for the patient so that she does not feel burdened
  4. DExplaining each procedure in advance and offering choices wherever possible
7.Сложная

A patient's mood changes several times a day, usually after conflicts with others. She has chronic feelings of emptiness and a strong fear of being abandoned. Which diagnosis is most likely?

  1. ASchizoid personality disorder with low mood
  2. BBipolar I disorder
  3. CBorderline personality disorder
  4. DPersistent depressive disorder
8.Сложная

A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?

  1. AAsk her to prove she is his sister and then share the details
  2. BGive a full update, because she is a close family member
  3. CTell her that he is on the ward but refuse to say anything else about his care or condition
  4. DNeither confirm nor deny that he is there, and offer to pass on a message

Ответы

  1. 1. D · Restating
  2. 2. B · Whether the patient knows the time, the place and who they are
  3. 3. B · A painful erection that does not go away
  4. 4. A · Tarasoff v Regents of the University of California
  5. 5. D · Changes in arousal and reactivity
  6. 6. D · Explaining each procedure in advance and offering choices wherever possible
  7. 7. C · Borderline personality disorder
  8. 8. D · Neither confirm nor deny that he is there, and offer to pass on a message

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