Сестринское дело в психиатрии: лист заданий с ответами

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

1. AEcholalia
2. BNeologism
3. CEchopraxia
4. DConfabulation

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. ABlunted
2. BCongruent
3. CLabile
4. DFlat

Каков наиболее серьёзный гематологический риск клозапина?

1. AПовышение тромбоцитов
2. BАгранулоцитоз (тяжёлая нейтропения)
3. CПерегрузка железом
4. DПолицитемия

Which communication approach is best with a patient who has paranoid personality disorder?

1. AAvoid explaining anything so that the patient does not become suspicious
2. BBe very warm and joke often to put the patient at ease
3. CTalk about the patient with colleagues in whispers within his sight
4. DBe clear, honest and business-like, and explain the reasons for actions

What should a patient starting zolpidem for insomnia be taught to report?

1. AFeeling slightly more rested and alert the next morning than before starting the medicine
2. BFeeling sleepy about 30 minutes after taking it at bedtime
3. CSleeping through the night without waking up
4. DDoing things while not fully awake, such as sleepwalking or driving, with no memory of it

A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?

1. AA high serum potassium
2. BA high haemoglobin
3. CA low serum cholesterol
4. DA low serum sodium

A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?

1. AStop giving him his medicine at all, because he is not taking it anyway, and record that he refused
2. BAccuse him in front of other patients so that he is embarrassed and stops
3. CCheck his mouth after each dose, as policy allows, and explore why he does not want it
4. DCrush all his tablets into his food without telling him

Which patient should the nurse check first?

1. AA patient given IM haloperidol and lorazepam 30 minutes ago who is hard to rouse, breathing 8/min
2. BA patient with OCD who is late for breakfast because of a long washing ritual in the bathroom
3. CA patient with schizophrenia who wants a cigarette break in the garden
4. DA patient with depression who is asking for help to phone his mother