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?
ARestating
BSummarising
CExploring
DFocusing
2.Лёгкая
In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?
AWithin 3 days
BOnly after 1 year
COnly after 2 years
DWithin 3 months
3.Лёгкая
How is lithium mainly removed from the body?
AThrough the lungs, in the breath
BBy the kidneys, in the urine
CThrough the skin, in sweat only
DBy the liver, in the bile
4.Средняя
Which goal for a patient with depression is written in a SMART way?
A"The patient will feel better soon."
B"The patient will improve her mood and sleep and start exercising more at some point."
C"The patient will be happier."
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?
AARFID; the risk of choking on food
BPica; poisoning such as lead toxicity, or bowel obstruction
CAnorexia; dangerously low body weight and bradycardia
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?
AAsk a series of direct questions until he answers
BTell the patient that talking is required to be discharged
CSpend short, regular periods with the patient without forcing conversation
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?
AExploring the meaning of his silence with open questions
BFluid and nutritional intake, and other physical needs
CTeaching him about his medicines
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?
AReport him to the police and his employer for non-adherence to treatment
BDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
CAdvise him to stop it suddenly on his own and see what happens over the next month
DTell him he must take it for life and refuse to discuss it
Ответы
1. B · Summarising
2. D · Within 3 months
3. B · By the kidneys, in the urine
4. D · "The patient will walk with staff for 15 minutes once a day by Friday."
5. B · Pica; poisoning such as lead toxicity, or bowel obstruction
6. C · Spend short, regular periods with the patient without forcing conversation
7. B · Fluid and nutritional intake, and other physical needs
8. B · Discuss benefits and risks, decide together with the prescriber and agree a relapse plan
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