Сестринское дело в психиатрии: лист заданий с ответами

Почему опасно сочетание бензодиазепина с алкоголем?

1. AОба угнетают центральную нервную систему и могут вызвать угнетение дыхания
2. BАлкоголь ускоряет расщепление бензодиазепина, и тот перестаёт действовать
3. CСочетание вызывает высокое артериальное давление
4. DСочетание вызывает серотониновый синдром

What is anhedonia?

1. AAn inability to fall asleep at night despite feeling very tired during the day
2. BA belief that one's body is diseased or rotting
3. CRapid, pressured speech that is hard to interrupt
4. DLoss of interest or pleasure in activities that were enjoyed before

Что такое поздняя дискинезия?

1. AВнезапный болезненный мышечный спазм шеи, языка или глаз в течение часов или дней после первой дозы
2. BВысокая лихорадка с мышечной ригидностью
3. CНепроизвольные движения, часто рта, языка и лица, после длительного применения антипсихотиков
4. DБеспокойство и невозможность усидеть на месте в первые дни

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. ALithium toxicity
2. BSerotonin syndrome
3. CHypertensive crisis from tyramine
4. DAgranulocytosis

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIts anticholinergic effects can cause confusion, urine retention and falls
2. BIt raises blood pressure to dangerous levels in older adults
3. CIt is a strong opioid that causes severe dependence
4. DIt has no effects at all in people over 80, so it will not help her sleep

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"What does the man in the corner look like?"
2. B"I don't see anyone in the corner, but I know it seems real to you."
3. C"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
4. D"The man will go away if you ignore him."

For the last 3 years a man has had frequent periods of mildly raised mood and periods of low mood. None has been severe enough to count as hypomania or a major depressive episode. Which diagnosis fits best?

1. ABipolar II disorder
2. BBipolar I disorder
3. CMajor depressive disorder
4. DCyclothymic disorder

A patient finds clothes in her wardrobe she does not remember buying, has gaps in her memory and is called by different names by people she does not know. Which condition is most likely?

1. ABorderline personality disorder
2. BBipolar I disorder
3. CSchizophrenia
4. DDissociative identity disorder