Сестринское дело в психиатрии: лист заданий с ответами

Каков наиболее серьёзный гематологический риск клозапина?

1. AПолицитемия
2. BПерегрузка железом
3. CАгранулоцитоз (тяжёлая нейтропения)
4. DПовышение тромбоцитов

Which statement about nicotine replacement therapy is correct?

1. AIt must never be combined, for example a patch with gum
2. BIt contains tar and carbon monoxide in smaller amounts than cigarettes
3. CIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
4. DIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings

How is lithium mainly removed from the body?

1. ABy the liver, in the bile
2. BBy the kidneys, in the urine
3. CThrough the lungs, in the breath
4. DThrough the skin, in sweat only

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. AValproate raises lamotrigine levels, which increases the risk of a serious rash
2. BThe two drugs together cause severe hair growth
3. CLamotrigine will lower the valproate level until it has no effect
4. DValproate makes lamotrigine work faster, so the dose must be increased quickly

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIts anticholinergic effects can cause confusion, urine retention and falls
2. BIt raises blood pressure to dangerous levels in older adults
3. CIt has no effects at all in people over 80, so it will not help her sleep
4. DIt is a strong opioid that causes severe dependence

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. AThyroid function tests
2. BSerum lithium level
3. CUrine drug screen only
4. DAn MRI of the knee

Пациентка говорит, что накопила дома большой запас таблеток и планирует принять их все на этих выходных. Что является приоритетным действием?

1. AВзять её под тщательное наблюдение, обеспечить её немедленную безопасность и срочно уведомить команду
2. BПопросить подписать письменное обещание не причинять себе вред, а затем отпустить домой на выходные, как планировалось
3. CНазначить плановый повторный приём через месяц
4. DСказать ей, что после выходных всё будет выглядеть лучше

A patient with depression and a family history of bipolar disorder started an antidepressant 2 weeks ago. He now sleeps 3 hours a night, talks rapidly and is spending large amounts of money. What should the nurse suspect?

1. ANormal relief and extra energy now that his depression has finally lifted after the treatment
2. BA switch into mania or hypomania triggered by the antidepressant
3. CThe expected improvement in mood from the antidepressant
4. DSerotonin syndrome caused by a high dose