Сестринское дело в психиатрии: лист заданий с ответами

What is countertransference?

1. AThe transfer of a patient's care to another nurse at the end of a shift
2. BThe patient repeating the nurse's words and gestures without understanding their meaning
3. CThe patient's feelings towards the nurse, based on earlier relationships
4. DThe nurse's emotional reaction to a patient, based on the nurse's own past experiences

What is a psychiatric advance directive (advance statement)?

1. AA court order that allows a patient to be detained in hospital
2. BA document in which a person states their treatment wishes for a time when they may lack capacity
3. CA note from the doctor that lists the patient's diagnoses
4. DA contract in which the patient promises the team to take every prescribed medicine for life

Что из перечисленного является негативным симптомом шизофрении?

1. AДезорганизованное поведение
2. BБред преследования
3. CСлуховые «голоса»
4. DАбулия (отсутствие мотивации)

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
2. BThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
3. CThese are signs of an allergic reaction, so she should never take lithium again
4. DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored

Какая находка при исследовании психического статуса фиксируется в разделе «содержание мышления»?

1. AДавление речи
2. BНарушенные ассоциации
3. CНавязчивости и бред
4. DСкачка идей

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. ASerum lithium level
2. BAn MRI of the knee
3. CThyroid function tests
4. DUrine drug screen only

A patient says, "My boss didn't say hello this morning, so she must think I'm useless." Which cognitive distortion is shown, and what is a helpful nursing response?

1. APersonalisation; advise the patient to ask for a new manager
2. BMind reading; ask what other reasons there might be for the boss's behaviour
3. CAll-or-nothing thinking; agree that the boss is being unfair
4. DCatastrophising; tell the patient that she will definitely not be fired

A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?

1. AAssess the patient, including his vital signs and level of sedation
2. BGive the patient his own prescribed medicine as well, to stay on schedule
3. CFill in an incident report before checking the patient
4. DSay nothing, because one dose will not cause harm