Сестринское дело в психиатрии: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
How does binge-eating disorder differ from bulimia nervosa?
ABinges happen only once a year, so they are not a problem
BThe person always has a very low body weight and a fear of gaining weight
CThe person never feels a loss of control while eating
DThere are no regular compensatory behaviours, such as vomiting or laxative use
2.Лёгкая
Which statement about self-disclosure by the nurse is correct?
AIt is never allowed in any situation
BIt is helpful when the nurse shares personal problems in detail
CIt should be brief, rare and used only to help the patient
DIt should be used often to build friendship with the patient
3.Лёгкая
Which pattern of decline is typical of vascular dementia?
AVery gradual and steady from the start, without sudden changes
BStepwise, with sudden worsening after each new vascular event
CComplete recovery within a few weeks
DRapid improvement after starting antipsychotic medicine
4.Средняя
Какие серьёзные нежелательные эффекты связаны с карбамазепином?
AБыстрая потеря массы тела
BТолько рост волос и разрастание дёсен, которые в основном косметические проблемы
CЗаболевания крови, например агранулоцитоз, и тяжёлые кожные реакции
DПотеря слуха
5.Средняя
A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?
AThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
BThe patient can be left alone while asleep
CA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
DThe patient is checked every hour during the day only
6.Средняя
A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?
AGive her a lot of extra attention for the rest of the day
BTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
CScold her for breaking the ward rules and remove all her privileges
DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
7.Сложная
The parent of a child recently diagnosed with autism asks, "Did his vaccines cause this?" What is the most accurate response?
A"Large studies have found no link between vaccines and autism."
B"We don't know, so it is best to stop all of his other vaccines."
C"Autism is caused by cold and distant parenting styles in early childhood."
D"Yes, the MMR vaccine is a proven cause of autism."
8.Сложная
A woman taking carbamazepine for bipolar disorder uses an oral contraceptive pill. What should the nurse teach?
AThe two drugs do not interact in any way
BCarbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
CCarbamazepine increases the effect of the pill, so she can take it every other day
DShe should take the pill and the carbamazepine at exactly the same time each day so that both of them stay fully effective
Ответы
1. D · There are no regular compensatory behaviours, such as vomiting or laxative use
2. C · It should be brief, rare and used only to help the patient
3. B · Stepwise, with sudden worsening after each new vascular event
4. C · Заболевания крови, например агранулоцитоз, и тяжёлые кожные реакции
5. C · A staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
6. B · Treat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
7. A · "Large studies have found no link between vaccines and autism."
8. B · Carbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
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