Сестринское дело в психиатрии: лист заданий с ответами

What is a safety plan in suicide prevention?

1. AA plan that the nurse writes alone and keeps from the patient
2. BA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
3. CA hospital rule that all patients must stay in their rooms after dark
4. DA legal document in which the patient promises never to harm themselves

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. ADerealisation
2. BDepersonalisation
3. CA delusion of control
4. DA visual hallucination

Which statement about nicotine replacement therapy is correct?

1. AIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings
2. BIt contains tar and carbon monoxide in smaller amounts than cigarettes
3. CIt must never be combined, for example a patch with gum
4. DIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them

Какой эффект ожидаем и временен после электросудорожной терапии (ЭСТ)?

1. AНеобратимая потеря всех долговременных воспоминаний до лечения
2. BПотеря речи на месяцы
3. CКратковременная спутанность и потеря памяти около времени лечения
4. DПаралич ног

A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?

1. AAsk her to name things she can see, hear and touch in the room right now
2. BLeave her alone until the episode has passed on its own
3. CAsk her to close her eyes and think back to the worst moment of the trauma
4. DAsk her to describe the traumatic event in as much detail as she can

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Let's talk about something more cheerful."
2. B"You shouldn't say things like that."
3. C"Tell me more about what that feeling is like for you."
4. D"Everyone feels that way sometimes."

Пациент ходит взад-вперёд, сжимает кулаки и кричит на персонал. Какой первый подход наиболее уместен?

1. AВстать близко к пациенту и повысить голос, чтобы явно взять ситуацию под контроль
2. BПовернуться спиной и игнорировать поведение
3. CНемедленно зафиксировать пациента
4. DИспользовать спокойную вербальную деэскалацию, сохранять безопасную дистанцию и следить, чтобы у обоих был выход

A patient who stopped drinking 24 hours ago has a generalised tonic-clonic seizure in bed. What is the nurse's first action?

1. AProtect the airway and keep him safe from injury
2. BGive oral thiamine with a glass of water
3. CPut something in his mouth to stop him biting his tongue
4. DRestrain his arms and legs to stop the movements