Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
What is the main purpose of a debriefing after a physical restraint incident?
ATo review what happened, support those involved and learn how to prevent future restraint
BTo punish the patient for the behaviour that led to the restraint
CTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
DTo decide which staff member should be blamed for the incident
2.Лёгкая
Каковы, по Пеплау, основные фазы отношений «медсестра–пациент»?
AПоступление, лечение и выписка
BОценка, диагноз и оценка результатов
CОриентация, работа и завершение
DОтрицание, гнев и принятие
3.Лёгкая
Which advice is part of good sleep hygiene?
ATake long naps in the afternoon to make up for any lost sleep at night
BHave a large meal and a strong coffee just before going to bed
CGet up at the same time each day and avoid caffeine later in the day
DUse a phone or tablet in bed until you feel tired enough to sleep
4.Средняя
What is the PHQ-9 used for?
AScreening for depression and measuring its severity
BAssessing the severity of alcohol withdrawal
CScreening for alcohol problems
DMonitoring involuntary movements caused by antipsychotics
5.Средняя
How does aripiprazole differ from most other antipsychotics?
AIt has no effect on dopamine at all
BIt needs weekly white blood cell counts for safety
CIt is a partial agonist at dopamine D2 receptors
DIt is a benzodiazepine with antipsychotic effects
6.Средняя
A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?
AThe diazepam will block the pain-relieving effect of oxycodone
BThe combination will cause high blood pressure
CIncreased sedation and respiratory depression
DThere is no interaction between these two drugs
7.Сложная
A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?
ATry to persuade her to adopt the nurse's own beliefs
BIgnore the request politely and change the subject to the procedure itself
CTell her that religion has no place in hospital care
DRespect the request, join in if comfortable, and offer to call the chaplain
8.Сложная
A new nurse asks why the therapeutic relationship is different from a social relationship. Which statement is correct?
AIt has no fixed end, and it can continue as a friendship after discharge if both the nurse and the patient want it to
BThe patient is responsible for setting the boundaries of the relationship
CIt is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
DBoth people share their needs equally, as in any friendship
Ответы
1. A · To review what happened, support those involved and learn how to prevent future restraint
2. C · Ориентация, работа и завершение
3. C · Get up at the same time each day and avoid caffeine later in the day
4. A · Screening for depression and measuring its severity
5. C · It is a partial agonist at dopamine D2 receptors
6. C · Increased sedation and respiratory depression
7. D · Respect the request, join in if comfortable, and offer to call the chaplain
8. C · It is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
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