Сестринское дело в психиатрии: лист заданий с ответами

Человек, испытывающий сильную враждебность к соседу, чрезмерно дружелюбен и щедр с ним. Какой это защитный механизм?

1. AСмещение
2. BРеактивное образование
3. CКомпенсация
4. DОтрицание

What is trichotillomania?

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

Пациент, которому только что поставили диагноз рака, говорит: «Результаты анализов, должно быть, неверны; я чувствую себя прекрасно». Какой это защитный механизм?

1. AСублимация
2. BСмещение
3. CПроекция
4. DОтрицание

A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?

1. ABulimia; severe hypokalaemia from vomiting
2. BARFID; the risk of choking on food
3. CAnorexia; dangerously low body weight and bradycardia
4. DPica; poisoning such as lead toxicity, or bowel obstruction

A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?

1. ACalmly say that the comments are not acceptable and redirect him
2. BLaugh at the comments so he does not feel rejected
3. CRespond with similar comments to build rapport
4. DAvoid the patient for the rest of the shift

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
2. BIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
3. CThe combination is completely safe because they act on different systems
4. DIbuprofen will make the sertraline work faster

У пациентки с нервной булимией калий в сыворотке 2,8 mmol/L. Что является главной проблемой?

1. AУлучшенная мышечная сила
2. BПовышенный аппетит
3. CРиск набора массы тела
4. DРиск угрожающих жизни сердечных аритмий

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AThat the plan has failed and should be stopped immediately
2. BAn extinction burst, which is expected before the behaviour decreases
3. CThat the tantrums are caused by a physical illness
4. DThat the child needs firm punishment for each tantrum instead