Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

Which medicine is commonly used to treat antipsychotic-induced akathisia?

  1. APropranolol
  2. BLithium
  3. CHaloperidol
  4. DBupropion
2.Лёгкая

What is lanugo, which may be seen in severe anorexia nervosa?

  1. AFine, soft hair that grows on the body as it tries to conserve heat
  2. BLoss of tooth enamel caused by repeated contact with stomach acid
  3. CThickening of the skin on the knuckles caused by repeated vomiting
  4. DPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
3.Лёгкая

Мужчина, которого привлекает коллега, обвиняет жену в желании завести роман. Какой это защитный механизм?

  1. AРационализация
  2. BРегрессия
  3. CПроекция
  4. DПодавление
4.Средняя

What should a patient taking chlorpromazine be taught about sun exposure?

  1. AAvoid going outside at all, even in winter, for the rest of his life
  2. BUse sunscreen and protective clothing, because the skin may burn easily
  3. CSun exposure has no effect while taking this medicine
  4. DSunbathe for longer each day to improve mood
5.Средняя

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

  1. A"The man will go away if you ignore him."
  2. B"What does the man in the corner look like?"
  3. C"I don't see anyone in the corner, but I know it seems real to you."
  4. D"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
6.Средняя

Какой совет о соли и жидкости следует дать пациенту, принимающему литий?

  1. AЕжедневно принимать солевые таблетки
  2. BПоддерживать стабильное нормальное потребление соли и пить достаточно жидкости, особенно в жару или при болезни
  3. CПить как можно меньше воды
  4. DСоблюдать строгую диету с низким содержанием соли и пить как можно меньше жидкости, особенно в жару
7.Сложная

The nurse receives handover for four patients. Which patient should she see first?

  1. AA woman with bipolar disorder who wants to talk about her discharge plans for next week
  2. BA man with schizophrenia who is asking for his PRN laxative
  3. CA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
  4. DA newly admitted man with depression who says he has given away his dog and written letters to his children
8.Сложная

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

  1. AGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
  2. BEncourage him to drink a large glass of wine to settle the symptoms
  3. CWait for the next routine score in four hours before deciding
  4. DReduce monitoring, because a higher score on this scale means that his withdrawal is improving

Ответы

  1. 1. A · Propranolol
  2. 2. A · Fine, soft hair that grows on the body as it tries to conserve heat
  3. 3. C · Проекция
  4. 4. B · Use sunscreen and protective clothing, because the skin may burn easily
  5. 5. C · "I don't see anyone in the corner, but I know it seems real to you."
  6. 6. B · Поддерживать стабильное нормальное потребление соли и пить достаточно жидкости, особенно в жару или при болезни
  7. 7. D · A newly admitted man with depression who says he has given away his dog and written letters to his children
  8. 8. A · Give the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber

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