Сестринское дело в психиатрии: лист заданий с ответами

A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?

1. ASchizoid
2. BAvoidant
3. CAntisocial
4. DNarcissistic

How does naltrexone help people with alcohol dependence?

1. AIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
2. BIt blocks opioid receptors and reduces the craving and pleasure from drinking
3. CIt replaces alcohol in the brain and prevents withdrawal seizures
4. DIt causes vomiting and flushing if the person drinks alcohol

Какой признак типичен для маниакального эпизода?

1. AЗамедленные речь и движения
2. BЧувство никчёмности
3. CСниженная потребность во сне при высокой энергии
4. DСон по 14 часов в сутки

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are signs of an allergic reaction, so she should never take lithium again
2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
3. CThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
4. DThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away

What is assertive community treatment (ACT)?

1. AA short course of assertiveness training for people with mild social anxiety
2. BIntensive team-based support at home for people with severe mental illness and frequent admissions
3. CCompulsory hospital treatment for people who refuse medicine
4. DA self-help group run entirely by former patients, without any professional staff or support at all

Пациента переводят с ИМАО на СИОЗС. Что необходимо?

1. AНачать СИОЗС в тот же день
2. BПериод «отмывки» около 2 недель перед началом СИОЗС
3. CПринимать оба препарата вместе в течение месяца
4. DУдвоить дозу СИОЗС в начале

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

A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?

1. AHe should get no opioids at all, because of his history
2. BHis methadone should be stopped while he is in hospital
3. CHis usual methadone should continue, and additional analgesia is usually needed for acute pain
4. DHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given