Сестринское дело в психиатрии: лист заданий с ответами

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ADarkening of the skin on the hands and face
2. BA dry cough
3. CRinging in the ears
4. DA painful erection that does not go away

Which statement about self-disclosure by the nurse is correct?

1. AIt is never allowed in any situation
2. BIt is helpful when the nurse shares personal problems in detail
3. CIt should be used often to build friendship with the patient
4. DIt should be brief, rare and used only to help the patient

Передозировка опиоидов купирована налоксоном, и пациент теперь в сознании. Почему за ним всё равно нужно внимательно наблюдать?

1. AНалоксон может перестать действовать раньше опиоида, и дыхание снова может замедлиться
2. BСам налоксон вызывает замедление дыхания через несколько часов по мере расщепления
3. CЗа ним не нужно наблюдать, как только он в сознании
4. DНалоксон удваивает длительность действия опиоида

Какие признаки типичны для опиоидной абстиненции?

1. AТочечные зрачки и замедленное дыхание
2. BГлубокий сон и запор
3. CВысокая лихорадка, ригидность по типу «свинцовой трубы» и спутанность в течение суток после последней дозы
4. DЗевота, насморк, расширенные зрачки, «гусиная кожа» и диарея

A patient at risk of suicide is admitted. Which environmental check is most important?

1. ARemove items that could be used for self-harm, such as belts, cords and sharp objects
2. BPlace the patient in a room at the end of the corridor for privacy
3. CMake sure the patient has a television in the room
4. DLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home

What should a patient starting zolpidem for insomnia be taught to report?

1. ASleeping through the night without waking up
2. BFeeling sleepy about 30 minutes after taking it at bedtime
3. CFeeling slightly more rested and alert the next morning than before starting the medicine
4. DDoing things while not fully awake, such as sleepwalking or driving, with no memory of it

A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?

1. AStop giving him his medicine at all, because he is not taking it anyway, and record that he refused
2. BCrush all his tablets into his food without telling him
3. CAccuse him in front of other patients so that he is embarrassed and stops
4. DCheck his mouth after each dose, as policy allows, and explore why he does not want it

A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?

1. A"I'll need regular blood tests for as long as I take clozapine."
2. B"The tests are done because clozapine can lower my white cells."
3. C"If I get a sore throat or fever, I'll tell someone straight away."
4. D"After a few months I can stop having blood tests."