Сестринское дело в психиатрии: лист заданий с ответами

What is lanugo, which may be seen in severe anorexia nervosa?

1. ALoss of tooth enamel caused by repeated contact with stomach acid
2. BPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
3. CThickening of the skin on the knuckles caused by repeated vomiting
4. DFine, soft hair that grows on the body as it tries to conserve heat

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. AAll-or-nothing thinking
2. BCatastrophising
3. CPersonalisation
4. DEmotional reasoning

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?

1. AInstillation of hope
2. BAltruism
3. CUniversality
4. DCatharsis

A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?

1. ASpend short, regular periods with the patient without forcing conversation
2. BTell the patient that talking is required to be discharged
3. CLeave the patient alone until he asks to talk
4. DAsk a series of direct questions until he answers

Which criteria are needed for a diagnosis of intellectual disability?

1. AAn IQ score alone, measured at any time in adult life
2. BLimits in both intellectual and adaptive functioning, starting in childhood
3. CMemory loss and confusion that start for the first time after the age of 65
4. DProblems with reading only, with normal everyday functioning

Which tool is widely used to screen for delirium at the bedside?

1. AThe CIWA-Ar
2. BThe Abnormal Involuntary Movement Scale (AIMS)
3. CThe Confusion Assessment Method (CAM)
4. DThe CAGE questionnaire

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. AWait until the next morning to see if she still feels the same once the argument has settled down
2. BAgree with the colleague and take no action at all
3. CTell the patient she is only seeking attention
4. DCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent

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. ACyclothymic disorder
2. BBipolar I disorder
3. CMajor depressive disorder
4. DBipolar II disorder