Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

In substance use, what does "tolerance" mean?

  1. ABeing able to stop using the substance at any time without symptoms
  2. BFeeling a strong craving to use the substance after a long period without it
  3. CNeeding more of the substance to get the same effect
  4. DHaving withdrawal symptoms when the substance is stopped suddenly
2.Лёгкая

The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?

  1. ALevel of consciousness
  2. BAbstract thinking
  3. CImmediate memory
  4. DOrientation
3.Лёгкая

Что такое терапия средой (milieu therapy)?

  1. AИспользование всей обстановки отделения и сообщества как части лечения
  2. BТерапия только один на один в отдельной комнате, вдали от сообщества отделения
  3. CЭлектросудорожная терапия
  4. DВид лекарственного препарата
4.Средняя

Пациента переводят с ИМАО на СИОЗС. Что необходимо?

  1. AПериод «отмывки» около 2 недель перед началом СИОЗС
  2. BПринимать оба препарата вместе в течение месяца
  3. CУдвоить дозу СИОЗС в начале
  4. DНачать СИОЗС в тот же день
5.Средняя

Which criteria are needed for a diagnosis of intellectual disability?

  1. ALimits in both intellectual and adaptive functioning, starting in childhood
  2. BMemory loss and confusion that start for the first time after the age of 65
  3. CProblems with reading only, with normal everyday functioning
  4. DAn IQ score alone, measured at any time in adult life
6.Средняя

A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?

  1. A"You seem worried about what being here means. Can you tell me more?"
  2. B"Of course not. Only crazy people would ask that."
  3. C"Yes, but you're in the right place now."
  4. D"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
7.Сложная

An 80-year-old patient taking a benzodiazepine for sleep fell at night on the way to the toilet. After checking her for injury, what is the most appropriate next step?

  1. ADo nothing more, because falls are normal in older people
  2. BUse bed rails and a restraint every night to keep her safely in bed until the morning
  3. CReport the fall, put falls precautions in place and ask for a review of her sleep medicine
  4. DGive an extra dose so that she sleeps through the night without getting up
8.Сложная

While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?

  1. AIgnore her own reaction, because the nurse's feelings do not matter in patient care
  2. BRecognise that anxiety spreads between people, and calm herself first
  3. CLeave the patient immediately and not return
  4. DMatch the patient's level of anxiety to show empathy

Ответы

  1. 1. C · Needing more of the substance to get the same effect
  2. 2. B · Abstract thinking
  3. 3. A · Использование всей обстановки отделения и сообщества как части лечения
  4. 4. A · Период «отмывки» около 2 недель перед началом СИОЗС
  5. 5. A · Limits in both intellectual and adaptive functioning, starting in childhood
  6. 6. A · "You seem worried about what being here means. Can you tell me more?"
  7. 7. C · Report the fall, put falls precautions in place and ask for a review of her sleep medicine
  8. 8. B · Recognise that anxiety spreads between people, and calm herself first

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