Сестринское дело в психиатрии: лист заданий с ответами

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo punish the patient for the behaviour that led to the restraint
2. BTo review what happened, support those involved and learn how to prevent future restraint
3. CTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
4. DTo decide which staff member should be blamed for the incident

Какой признак типичен для маниакального эпизода?

1. AСон по 14 часов в сутки
2. BЗамедленные речь и движения
3. CЧувство никчёмности
4. DСниженная потребность во сне при высокой энергии

What are the two core areas affected in autism spectrum disorder?

1. AMood and appetite, which change with the seasons
2. BMemory and orientation to time and place
3. CSocial communication and interaction, and restricted, repetitive behaviours or interests
4. DReading and writing only, with completely normal social skills and play

Which treatment is recommended first-line for chronic insomnia in adults?

1. ALong-term daily benzodiazepines
2. BDrinking alcohol in the evening to fall asleep
3. CStaying in bed for longer each morning
4. DCognitive behavioural therapy for insomnia (CBT-I)

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

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

How does aripiprazole differ from most other antipsychotics?

1. AIt has no effect on dopamine at all
2. BIt is a benzodiazepine with antipsychotic effects
3. CIt is a partial agonist at dopamine D₂ receptors
4. DIt needs weekly white blood cell counts for safety

On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?

1. AAccompanying a stable patient to the dining room and recording his food intake
2. BTeaching a patient about the side effects of lithium
3. CCarrying out the full admission suicide risk assessment of a newly admitted patient
4. DEvaluating whether a PRN medicine given an hour ago has worked

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

1. ASudden-onset Alzheimer's disease
2. BA sign that she needs a higher dose of amitriptyline
3. CThe normal effects of ageing
4. DThe combined anticholinergic effects of her medicines