Сестринское дело в психиатрии: лист заданий с ответами

Что из перечисленного является негативным симптомом шизофрении?

1. AДезорганизованное поведение
2. BБред преследования
3. CСлуховые «голоса»
4. DАбулия (отсутствие мотивации)

A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?

1. ADefending
2. BReflecting
3. CSeeking clarification
4. DOffering self

In substance use, what does "tolerance" mean?

1. ABeing able to stop using the substance at any time without symptoms
2. BNeeding more of the substance to get the same effect
3. CFeeling a strong craving to use the substance after a long period without it
4. DHaving withdrawal symptoms when the substance is stopped suddenly

A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?

1. A"Why do you want to buy the hospital?"
2. B"That sounds hard to believe."
3. C"You know that isn't true at all."
4. D"That's wonderful. When will you start?"

Когда следует брать кровь для измерения уровня лития у пациента?

1. AЧерез 1 час после последней дозы
2. BПримерно через 12 часов после последней дозы
3. CВ любое время суток, так как это не имеет значения
4. DСразу после утренней дозы

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AGive her a lot of extra attention for the rest of the day
2. BScold her for breaking the ward rules and remove all her privileges
3. CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
4. DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way

A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?

1. AKeep the baby safe, never alone with her, and arrange urgent assessment
2. BPlan a routine follow-up appointment with the health visitor in 2 weeks
3. CEncourage her to spend more time alone with the baby so that they can bond
4. DReassure her that all new mothers feel this way

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. AGrab the chair from the patient quickly before he can use it
2. BKeep a safe distance, call for help and avoid trying to take the chair alone
3. CTurn her back and walk away slowly without saying anything
4. DShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge