Сестринское дело в психиатрии: лист заданий с ответами

How does naltrexone help people with alcohol dependence?

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

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. AVoicing doubt
2. BSummarising
3. CGiving advice
4. DRestating

What is Russell's sign, seen in some patients with eating disorders?

1. AYellowing of the skin from eating a lot of carrots
2. BCalluses or scars on the back of the hand from inducing vomiting
3. CSwelling of the ankles and feet during the first days of refeeding in hospital
4. DFine, downy hair growing on the face and back

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
2. BIt needs a general anaesthetic and causes a seizure, like ECT
3. CIt is given as a daily tablet that contains tiny magnetic particles
4. DIt involves surgically implanting electrodes deep in the brain under anaesthetic

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

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

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. APossible boundary problems that she should discuss in supervision
2. BTransference by the patient towards the nurse, which is never the nurse's concern
3. CAn ideal therapeutic relationship
4. DThat the patient needs to be transferred to another unit

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

A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?

1. ATell her that he is on the ward but refuse to say anything else about his care or condition
2. BAsk her to prove she is his sister and then share the details
3. CGive a full update, because she is a close family member
4. DNeither confirm nor deny that he is there, and offer to pass on a message