Сестринское дело в психиатрии: лист заданий с ответами

What is a safety plan in suicide prevention?

1. AA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
2. BA hospital rule that all patients must stay in their rooms after dark
3. CA plan that the nurse writes alone and keeps from the patient
4. DA legal document in which the patient promises never to harm themselves

According to Erikson, what is the main psychosocial task of adolescence?

1. ATrust versus mistrust
2. BIdentity versus role confusion
3. CIntegrity versus despair
4. DIndustry versus inferiority

What is conversion disorder (functional neurological symptom disorder)?

1. ADeliberately faking symptoms to get money or avoid work
2. BA condition in which the person has two or more distinct identities, with gaps in memory between them
3. CNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
4. DA belief that one has a serious illness without having any symptoms

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AArgue with him that what he sees is not real until he accepts it
2. BShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
3. CStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
4. DLeave him alone in a dark room so that he can sleep it off

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. ARecognise it as a common side effect, report it and suggest a towel on the pillow
2. BExplain that it is a sign of an allergic reaction to the medicine
3. CStop the clozapine immediately, because this is a sign of agranulocytosis
4. DTell him that it means the clozapine dose is too low and needs to be increased

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
2. BIt causes weight gain, so offer fewer snacks during the day
3. CGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
4. DGive it just before bedtime so that it works overnight

A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?

1. AShe should be told that cutting is only attention-seeking behaviour
2. BSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
3. CSelf-injury without suicidal intent never needs any assessment
4. DNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time

У пациентки с ПТСР внезапно ужас во взгляде, она смотрит в одну точку, быстро дышит и говорит, что «снова там». Что должна сделать медсестра первым?

1. AВнезапно дотронуться до неё сзади, чтобы привлечь внимание
2. BВыйти из комнаты, чтобы она успокоилась одна
3. CСразу попросить её описать все детали травмы, чтобы она могла проработать воспоминание
4. DГоворить спокойно, называть её по имени и применять техники заземления, чтобы вернуть внимание в настоящее