Сестринское дело в психиатрии: лист заданий с ответами

Каких продуктов должен избегать пациент, принимающий ингибитор моноаминоксидазы (ИМАО)?

1. AСвежих овощей
2. BРиса и макарон
3. CПродуктов с высоким содержанием тирамина, например выдержанных сыров и копчёных мясных изделий
4. DСвежего молока и натурального йогурта из-за содержания кальция

What is trichotillomania?

1. AA fear of hair, combs and hairdressers
2. BA fungal infection of the scalp that is common in people with OCD
3. CHair loss caused by lithium treatment
4. DRepeatedly pulling out one's own hair, leading to hair loss

In obsessive-compulsive disorder, what is an obsession?

1. AA strong interest in a hobby that the person enjoys very much
2. BA recurrent, unwanted thought, urge or image that causes anxiety
3. CA false belief that is held firmly despite clear evidence that it is untrue
4. DA repeated action done to reduce anxiety, such as checking a lock

A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?

1. A"The doctor is very experienced, so you should trust her."
2. B"Why do you think the doctor is wrong about you?"
3. C"You feel that people here don't really know you?"
4. D"Everyone here knows you well, so don't worry."

A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?

1. AObsessive-compulsive disorder
2. BGeneralised anxiety disorder
3. CSocial anxiety disorder
4. DAgoraphobia

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ARecord it immediately as a command hallucination
2. BTell her that her beliefs are not real
3. CExplore the experience in her cultural context before calling it a symptom
4. DAvoid asking about it, because culture is not relevant to mental health

A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?

1. AReassure her that all new mothers feel this way
2. BEncourage her to spend more time alone with the baby so that they can bond
3. CPlan a routine follow-up appointment with the health visitor in 2 weeks
4. DKeep the baby safe, never alone with her, and arrange urgent assessment

Пациент, который несколько недель был в тяжёлой депрессии, внезапно становится весёлым и спокойным и дарит свои часы другому пациенту. Какое действие наиболее уместно?

1. AПохвалить за щедрость и больше ничего не говорить
2. BЗапланировать его выписку на завтра
3. CПрямо спросить его о суицидальных мыслях и планах и уведомить команду
4. DОтметить, что его настроение явно улучшается, и снизить уровень наблюдения