Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
Haloperidol belongs to which group of antipsychotics?
ABenzodiazepines with an added antipsychotic effect
BFirst-generation (typical) antipsychotics
CSelective serotonin reuptake inhibitors used for psychosis
DSecond-generation (atypical) antipsychotics
2.Лёгкая
How does binge-eating disorder differ from bulimia nervosa?
AThe person never feels a loss of control while eating
BBinges happen only once a year, so they are not a problem
CThe person always has a very low body weight and a fear of gaining weight
DThere are no regular compensatory behaviours, such as vomiting or laxative use
3.Лёгкая
What is hoarding disorder?
AFear of leaving the home because of crowds and public transport
BRepeated checking that all the doors and windows are locked before leaving the house each day
CCollecting a few favourite objects as a hobby that the person enjoys
DPersistent difficulty throwing things away, so that clutter fills the living space
4.Средняя
What is the main difference between disulfiram and naltrexone in alcohol dependence?
ADisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
BNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
CDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
DBoth work in exactly the same way, so they are fully interchangeable
5.Средняя
A woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?
APost-traumatic stress disorder
BGeneralised anxiety disorder
CAcute stress disorder
DAdjustment disorder with anxiety
6.Средняя
A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?
AOnly after 7 days without alcohol
BAbout 6–24 hours after the last drink
CWithin 5 minutes of the last drink
DAbout 2–3 weeks after the last drink
7.Сложная
A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?
ADelusional disorder, jealous type
BBody dysmorphic disorder
CIllness anxiety disorder
DAnorexia nervosa
8.Сложная
Какая находка лучше всего помогает отличить серотониновый синдром от злокачественного нейролептического синдрома?
AГиперрефлексия и клонус с быстрым началом указывают на серотониновый синдром
BСпутанность бывает только при злокачественном нейролептическом синдроме, но никогда при серотониновом
CПотливость бывает только при злокачественном нейролептическом синдроме
DЛихорадка бывает только при серотониновом синдроме
Ответы
1. B · First-generation (typical) antipsychotics
2. D · There are no regular compensatory behaviours, such as vomiting or laxative use
3. D · Persistent difficulty throwing things away, so that clutter fills the living space
4. C · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
5. C · Acute stress disorder
6. B · About 6–24 hours after the last drink
7. B · Body dysmorphic disorder
8. A · Гиперрефлексия и клонус с быстрым началом указывают на серотониновый синдром
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