Сестринское дело в психиатрии: лист заданий с ответами

A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?

1. AHistrionic
2. BSchizoid
3. CAvoidant
4. DDependent

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. ARegression
2. BReaction formation
3. CIntellectualisation
4. DDisplacement

At which level of anxiety is a person most able to learn and solve problems?

1. ASevere anxiety
2. BMild anxiety
3. CModerate anxiety
4. DPanic

Какой совет о соли и жидкости следует дать пациенту, принимающему литий?

1. AПоддерживать стабильное нормальное потребление соли и пить достаточно жидкости, особенно в жару или при болезни
2. BСоблюдать строгую диету с низким содержанием соли и пить как можно меньше жидкости, особенно в жару
3. CЕжедневно принимать солевые таблетки
4. DПить как можно меньше воды

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ATell her that her beliefs are not real
2. BRecord it immediately as a command hallucination
3. CExplore the experience in her cultural context before calling it a symptom
4. DAvoid asking about it, because culture is not relevant to mental health

A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?

1. AThe patient can be left alone while asleep
2. BThe patient is checked every hour during the day only
3. CThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
4. DA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom

Which patient has the highest risk of suicide?

1. AA 45-year-old man with well-controlled hypertension who works full time
2. BA 30-year-old woman with mild anxiety who has a supportive family
3. CA 20-year-old student with exam stress who has no thoughts of suicide and good friends
4. DA 72-year-old widowed man with alcohol dependence who has a gun at home and a plan

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
2. BHaloperidol will make his hallucinations more frequent
3. CHaloperidol does not work in older patients at all
4. DThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics