Сестринское дело в психиатрии: лист заданий с ответами

In behaviour therapy, what is positive reinforcement?

1. AAdding an unpleasant consequence so that a behaviour stops
2. BAdding a reward after a behaviour so that the behaviour becomes more likely
3. CRemoving a reward so that a behaviour becomes less likely
4. DIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. ARegression
2. BIntellectualisation
3. CReaction formation
4. DDisplacement

What is trichotillomania?

1. ARepeatedly pulling out one's own hair, leading to hair loss
2. BHair loss caused by lithium treatment
3. CA fear of hair, combs and hairdressers
4. DA fungal infection of the scalp that is common in people with OCD

Which question is the best way to ask a patient about suicidal thoughts?

1. A"You wouldn't hurt yourself, would you?"
2. B"Are you having thoughts of killing yourself?"
3. C"Things aren't that bad, are they?"
4. D"You're not thinking of doing anything silly, are you?"

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. AUrine drug screen only
2. BAn MRI of the knee
3. CSerum lithium level
4. DThyroid function tests

A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?

1. AGrandiose
2. BErotomanic
3. CNihilistic
4. DPersecutory

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. AAsk the doctor to order new tests every time she reports a symptom
2. BStop answering her calls, because the symptoms are imaginary
3. CArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
4. DTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way

A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?

1. AGive the patient his own prescribed medicine as well, to stay on schedule
2. BSay nothing, because one dose will not cause harm
3. CFill in an incident report before checking the patient
4. DAssess the patient, including his vital signs and level of sedation