Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

Пациент говорит: «Я боюсь завтрашней операции». Какой ответ медсестры является примером ложного успокоения?

  1. A«Расскажите подробнее о своих чувствах».
  2. B«Не волнуйтесь, всё будет хорошо».
  3. C«Что больше всего беспокоит вас в завтрашнем дне?»
  4. D«Вы звучите напуганным».
2.Лёгкая

Which sequence shows Tuckman's stages of group development?

  1. AForming, performing, storming, norming, adjourning
  2. BNorming, forming, storming, adjourning, performing
  3. CStorming, forming, performing, norming, adjourning
  4. DForming, storming, norming, performing, adjourning
3.Лёгкая

Which feature is typical of Korsakoff syndrome?

  1. APinpoint pupils and slow breathing
  2. BA flapping tremor of the hands caused by liver failure
  3. CFever, rigidity and a high creatine kinase
  4. DSevere memory loss with confabulation
4.Средняя

Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?

  1. AIt can cause sudden withdrawal and seizures
  2. BIt causes a dangerous rise in blood sugar
  3. CIt makes the benzodiazepine effect much stronger
  4. DIt causes permanent memory loss after a single dose
5.Средняя

Which psychological treatment is most effective for obsessive-compulsive disorder?

  1. APsychoanalysis focused on early childhood memories
  2. BHypnosis to remove the obsessive thoughts permanently in a single session
  3. CExposure and response prevention, a form of CBT
  4. DEncouraging the patient to perform the rituals more often
6.Средняя

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

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

A school nurse is teaching about inhalant use such as sniffing glue or aerosols. Which risk should be stressed?

  1. AInhalants cause only a mild headache and nothing else
  2. BInhalants are only dangerous if they are mixed with alcohol
  3. CThere is no physical risk, because the substances are legal
  4. DSudden death from a heart arrhythmia, even on the first use
8.Сложная

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

  1. ATell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
  2. BTake the statement seriously, assess her risk and explain that nursing assignments are decided by the team
  3. CAgree to assign Anna to her every day so that she stays safe
  4. DIgnore the threat, because she is only trying to manipulate staff

Ответы

  1. 1. B · «Не волнуйтесь, всё будет хорошо».
  2. 2. D · Forming, storming, norming, performing, adjourning
  3. 3. D · Severe memory loss with confabulation
  4. 4. A · It can cause sudden withdrawal and seizures
  5. 5. C · Exposure and response prevention, a form of CBT
  6. 6. D · Doing things while not fully awake, such as sleepwalking or driving, with no memory of it
  7. 7. D · Sudden death from a heart arrhythmia, even on the first use
  8. 8. B · Take the statement seriously, assess her risk and explain that nursing assignments are decided by the team

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