Сестринское дело в психиатрии: лист заданий с ответами

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 provides nicotine without the harmful smoke, to reduce withdrawal and cravings
4. DIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them

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

1. ANeologism
2. BEcholalia
3. CEchopraxia
4. DConfabulation

Which of these medicines is a second-generation (atypical) antipsychotic?

1. AQuetiapine
2. BLorazepam
3. CHaloperidol
4. DChlorpromazine

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

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

A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?

1. AConversion disorder
2. BSomatic symptom disorder
3. CIllness anxiety disorder
4. DFactitious disorder

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

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

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. AAgree with the colleague and take no action at all
2. BTell the patient she is only seeking attention
3. CWait until the next morning to see if she still feels the same once the argument has settled down
4. DCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent

A patient finds clothes in her wardrobe she does not remember buying, has gaps in her memory and is called by different names by people she does not know. Which condition is most likely?

1. ABorderline personality disorder
2. BDissociative identity disorder
3. CBipolar I disorder
4. DSchizophrenia