Сестринское дело в психиатрии: лист заданий с ответами

What is a psychiatric advance directive (advance statement)?

1. AA note from the doctor that lists the patient's diagnoses
2. BA document in which a person states their treatment wishes for a time when they may lack capacity
3. CA contract in which the patient promises the team to take every prescribed medicine for life
4. DA court order that allows a patient to be detained in hospital

Which sequence shows Tuckman's stages of group development?

1. AForming, performing, storming, norming, adjourning
2. BForming, storming, norming, performing, adjourning
3. CNorming, forming, storming, adjourning, performing
4. DStorming, forming, performing, norming, adjourning

Какой признак типичен для маниакального эпизода?

1. AЗамедленные речь и движения
2. BСниженная потребность во сне при высокой энергии
3. CСон по 14 часов в сутки
4. DЧувство никчёмности

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 has no effects at all in people over 80, so it will not help her sleep
3. CIt is a strong opioid that causes severe dependence
4. DIt raises blood pressure to dangerous levels in older adults

Какой диапазон концентрации лития в сыворотке обычно называют поддерживающим терапевтическим?

1. AОколо 0,01–0,05 mmol/L
2. BОколо 0,6–1,2 mmol/L (целевые диапазоны различаются в разных рекомендациях)
3. CОколо 3,5–5,0 mmol/L
4. DОколо 2,0–3,0 mmol/L (более высокие уровни нужны при острой мании)

A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?

1. AShower and wash her clothes before coming in, so she feels cleaner
2. BWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination
3. CPut all clothing in a sealed plastic bag
4. DAvoid showering or changing clothes, and bring any clothing already removed in a paper bag

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. BIgnore the threat, because she is only trying to manipulate staff
3. CAgree to assign Anna to her every day so that she stays safe
4. DTake the statement seriously, assess her risk and explain that nursing assignments are decided by the team

A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?

1. ABipolar I disorder
2. BSchizophrenia
3. CSchizophreniform disorder
4. DDelusional disorder