Сестринское дело в психиатрии: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
What is the main goal of crisis intervention?
ATo admit every person in crisis to hospital for several months
BTo change the person's personality so that crises never happen again
CTo explore the person's childhood experiences in depth over many years
DTo help the person return at least to their level of functioning before the crisis
2.Лёгкая
In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?
AInstillation of hope
BUniversality
CAltruism
DCatharsis
3.Лёгкая
In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?
AWithin 3 days
BOnly after 1 year
CWithin 3 months
DOnly after 2 years
4.Средняя
A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?
AThe patient will move in with a relative who can make decisions for her
BThe patient will let staff make all her decisions while in hospital
CThe patient will make small everyday decisions on her own
DThe patient will avoid contact with others until she feels more confident
5.Средняя
An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?
AA sudden onset of Alzheimer's disease
BAn infection such as a urinary tract infection, or a medicine side effect
CThe normal ageing process
DA first episode of schizophrenia caused by moving into the home
6.Средняя
A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?
ADo nothing, because patients are allowed to leave whenever they want
BWait until the next day, because he will probably return on his own
CStart the missing patient procedure at once, informing the team and, if required, the police
DRemove his name from the ward list and give his bed to a new patient who is waiting for admission
7.Сложная
A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?
ATreat it as a possible heart attack, with an urgent ECG and medical review
BLet him rest, because the pain will pass when the drug wears off
CGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
DReassure him that young people do not have heart problems
8.Сложная
A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?
AHaloperidol will make his hallucinations more frequent
BThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
CHaloperidol does not work in older patients at all
DThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
Ответы
1. D · To help the person return at least to their level of functioning before the crisis
2. B · Universality
3. C · Within 3 months
4. C · The patient will make small everyday decisions on her own
5. B · An infection such as a urinary tract infection, or a medicine side effect
6. C · Start the missing patient procedure at once, informing the team and, if required, the police
7. A · Treat it as a possible heart attack, with an urgent ECG and medical review
8. B · These patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
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