Сестринское дело в психиатрии: лист заданий с ответами

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. AA dry cough
2. BA painful erection that does not go away
3. CRinging in the ears
4. DDarkening of the skin on the hands and face

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. APersonalisation
2. BMind reading
3. CEmotional reasoning
4. DCatastrophising

Передозировка опиоидов купирована налоксоном, и пациент теперь в сознании. Почему за ним всё равно нужно внимательно наблюдать?

1. AЗа ним не нужно наблюдать, как только он в сознании
2. BСам налоксон вызывает замедление дыхания через несколько часов по мере расщепления
3. CНалоксон может перестать действовать раньше опиоида, и дыхание снова может замедлиться
4. DНалоксон удваивает длительность действия опиоида

Which findings suggest recent cannabis use?

1. APinpoint pupils, slow breathing and drowsiness
2. BRed eyes, increased appetite, dry mouth and a fast heart rate
3. CDilated pupils, high fever and severe muscle rigidity
4. DSlow heart rate, constricted pupils, drooling and watery eyes

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. ALet each nurse decide on the day whether to apply the rules
2. BGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
3. CState the rule and the consequence clearly, and make sure all staff apply it consistently
4. DChange the rules for this patient to avoid conflict

Какова классическая триада энцефалопатии Вернике?

1. AТолько головная боль, рвота и нечёткость зрения
2. BЛихорадка, сыпь и ригидность затылочных мышц
3. CТремор, ригидность и замедленность движений
4. DСпутанность, атаксия и нарушения движений глаз

After her house burned down, a woman developed delusions and disorganised speech. Ten days later the symptoms have gone completely and she is back to normal. Which diagnosis best fits?

1. ADelusional disorder
2. BSchizophreniform disorder
3. CBrief psychotic disorder
4. DSchizophrenia

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. ALet him leave, because voluntary patients can always go when they want
2. BStay with him and inform the team at once, so he can be urgently assessed under mental health law
3. CTell him to go home now and come back tomorrow morning when he feels calmer and safer
4. DAsk him to promise that he will not jump, and then let him go home on his own