Сестринское дело в психиатрии: лист заданий с ответами

How does naltrexone help people with alcohol dependence?

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

What is "enabling" in the context of substance use?

1. ASetting firm limits on what behaviour the family will accept in the home from now on
2. BHelping the person to attend a treatment programme on time
3. CBehaviour by others that protects the person from the consequences of their use
4. DGiving the person information about the effects of the substance

Which phrase uses person-first language that helps reduce stigma?

1. A"A mental case"
2. B"A person with schizophrenia"
3. C"A psycho"
4. D"A schizophrenic patient"

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
2. BLeave him alone in a dark room so that he can sleep it off
3. CArgue with him that what he sees is not real until he accepts it
4. DShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off

In family systems theory, what is meant by the "identified patient"?

1. AThe family member who has the most serious physical illness
2. BThe patient whose identity has been checked against a wristband before treatment
3. CThe family member who pays for the treatment
4. DThe member whose symptoms are seen as the family's problem

How should a patient take sublingual buprenorphine-naloxone tablets?

1. ACrush the tablet and mix it with a spoonful of soft food such as yoghurt
2. BChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
3. CLet the tablet dissolve completely under the tongue without chewing or swallowing it
4. DSwallow the tablet whole with a large glass of water

A patient says, "I'm such a failure. My wife left me and I lost my job." The nurse answers, "Don't worry, things will get better soon." What is wrong with this response?

1. AIt is false reassurance that dismisses the patient's feelings
2. BIt uses the technique of presenting reality wrongly
3. CIt is too direct and confronting
4. DIt explores the problem too deeply too early

A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?

1. ATry to persuade her to adopt the nurse's own beliefs
2. BTell her that religion has no place in hospital care
3. CIgnore the request politely and change the subject to the procedure itself
4. DRespect the request, join in if comfortable, and offer to call the chaplain