Сестринское дело в психиатрии: лист заданий с ответами

In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?

1. A2 years
2. B2 months
3. C6 weeks
4. D2 weeks

Which feature is typical of Korsakoff syndrome?

1. ASevere memory loss with confabulation
2. BA flapping tremor of the hands caused by liver failure
3. CFever, rigidity and a high creatine kinase
4. DPinpoint pupils and slow breathing

Человек, испытывающий сильную враждебность к соседу, чрезмерно дружелюбен и щедр с ним. Какой это защитный механизм?

1. AСмещение
2. BРеактивное образование
3. CОтрицание
4. DКомпенсация

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

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt always makes the patient angry and more likely to become aggressive towards staff
2. BIt shows that the nurse is not listening at all
3. CIt suggests that the patient's choices are judged against the nurse's standards
4. DIt is against the law in mental health settings

Когда следует брать кровь для измерения уровня лития у пациента?

1. AПримерно через 12 часов после последней дозы
2. BВ любое время суток, так как это не имеет значения
3. CЧерез 1 час после последней дозы
4. DСразу после утренней дозы

An 82-year-old started amitriptyline last week. Which finding is most concerning?

1. AA slightly dry mouth
2. BMild constipation that responds to extra fluids and fibre in the diet
3. CFeeling a little drowsy in the evening
4. DNew confusion and difficulty passing urine

A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?

1. ALock and unlock the door in front of him each time he asks
2. BReassure him every time he asks, as often as he needs
3. CAnswer once, then follow the agreed plan to limit repeated reassurance
4. DTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day