Сестринское дело в психиатрии: лист заданий с ответами

Какое утверждение о конфиденциальности в психиатрическом сестринском деле верно?

1. AУ конфиденциальности никогда не бывает исключений
2. BКонфиденциальна только информация о физическом здоровье; сведения о психическом здоровье можно сообщать родственникам по просьбе
3. CИнформация о пациенте конфиденциальна, с исключениями, например при серьёзном риске вреда для пациента или других
4. DИнформацию можно сообщать любому, кто попросит

What is countertransference?

1. AThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
2. BThe patient's feelings towards the nurse, based on earlier relationships
3. CThe patient repeating the nurse's words and gestures without understanding their meaning
4. DThe transfer of a patient's care to another nurse at the end of a shift

Which early feature is most typical of frontotemporal dementia?

1. AStepwise decline after a series of small strokes
2. BVisual hallucinations of people and animals
3. CChanges in personality and behaviour, such as loss of inhibition
4. DSevere memory loss as the very first symptom, with no change in behaviour

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
2. BThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
3. CThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
4. DThese are signs of an allergic reaction, so she should never take lithium again

Which side effects are most common with quetiapine?

1. AInsomnia and severe weight loss
2. BA cough and swollen ankles
3. CHigh prolactin with breast enlargement in almost every patient
4. DSedation, dizziness when standing and weight gain

What is the Abnormal Involuntary Movement Scale (AIMS) used for?

1. ATo screen for and monitor tardive dyskinesia
2. BTo assess the risk of a patient becoming violent
3. CTo measure the severity of alcohol withdrawal
4. DTo rate the severity of depression

On the day after hip surgery, a 58-year-old patient has a new tremor, sweating, anxiety and a fast pulse. He did not report any alcohol use on admission. What should the nurse do?

1. AWait until the next day to see if the symptoms go away on their own once his pain is better controlled
2. BTell him that his symptoms are normal after hip surgery
3. CAssume he has post-operative pain and give extra analgesia only
4. DAsk him and his family about his alcohol use and the time of his last drink, and report the findings

A patient on suicide precautions asks for his razor to shave. What is the most appropriate response?

1. ARefuse, and tell him he cannot shave at all while in hospital
2. BLet another patient lend him a razor so that staff do not need to be involved and he can keep his privacy
3. CGive him the razor, because he has the right to his own belongings
4. DFollow policy, for example by supervising the shave or offering an electric razor