Сестринское дело в психиатрии: лист заданий с ответами

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Имя: ____________________   Дата: ____________

1.Лёгкая

Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?

  1. ARestating
  2. BSummarising
  3. CExploring
  4. DFocusing
2.Лёгкая

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

  1. AWithin 3 days
  2. BOnly after 1 year
  3. COnly after 2 years
  4. DWithin 3 months
3.Лёгкая

How is lithium mainly removed from the body?

  1. AThrough the lungs, in the breath
  2. BBy the kidneys, in the urine
  3. CThrough the skin, in sweat only
  4. DBy the liver, in the bile
4.Средняя

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

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

A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?

  1. AARFID; the risk of choking on food
  2. BPica; poisoning such as lead toxicity, or bowel obstruction
  3. CAnorexia; dangerously low body weight and bradycardia
  4. DBulimia; severe hypokalaemia from vomiting
6.Средняя

A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?

  1. AAsk a series of direct questions until he answers
  2. BTell the patient that talking is required to be discharged
  3. CSpend short, regular periods with the patient without forcing conversation
  4. DLeave the patient alone until he asks to talk
7.Сложная

A patient in a catatonic stupor has not eaten or drunk anything for 24 hours and does not respond to speech. What is the priority nursing concern?

  1. AExploring the meaning of his silence with open questions
  2. BFluid and nutritional intake, and other physical needs
  3. CTeaching him about his medicines
  4. DEncouraging him to join group therapy
8.Сложная

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

  1. AReport him to the police and his employer for non-adherence to treatment
  2. BDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
  3. CAdvise him to stop it suddenly on his own and see what happens over the next month
  4. DTell him he must take it for life and refuse to discuss it

Ответы

  1. 1. B · Summarising
  2. 2. D · Within 3 months
  3. 3. B · By the kidneys, in the urine
  4. 4. D · "The patient will walk with staff for 15 minutes once a day by Friday."
  5. 5. B · Pica; poisoning such as lead toxicity, or bowel obstruction
  6. 6. C · Spend short, regular periods with the patient without forcing conversation
  7. 7. B · Fluid and nutritional intake, and other physical needs
  8. 8. B · Discuss benefits and risks, decide together with the prescriber and agree a relapse plan

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