Сестринское дело в психиатрии: лист заданий с ответами

A patient smiles and laughs while describing the death of her son. How is this affect described?

1. ARestricted but appropriate
2. BCongruent
3. CEuthymic
4. DIncongruent

What is the main aim of motivational interviewing?

1. ATo help the person explore and resolve their mixed feelings about change
2. BTo tell the person exactly what they must do to recover
3. CTo confront the person firmly until they admit they have a problem
4. DTo frighten the person with the worst possible health consequences of their drinking

In behaviour therapy, what is positive reinforcement?

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

How does memantine work in Alzheimer's disease?

1. AIt increases serotonin by blocking its reuptake
2. BIt blocks NMDA glutamate receptors
3. CIt blocks dopamine D₂ receptors
4. DIt inhibits the breakdown of acetylcholine

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. ACalm, supportive and warm communication
2. BEncouraging the patient to take part in activities
3. CFrequent criticism, hostility and emotional over-involvement
4. DRegular contact with the care team and other families

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AHer calmness shows that the assault did not happen
2. BShe is not distressed and does not need any support
3. CA controlled response is a common reaction in the acute phase after assault
4. DShe is probably exaggerating the seriousness of what happened, because she does not seem upset

Пациент, принимающий клозапин в течение года, бросает курить. Почему это важно?

1. AКлозапин полностью перестаёт действовать
2. BЭто совершенно не важно
3. CУровни клозапина резко падают, поэтому дозу обычно приходится удваивать, чтобы предотвратить психотический рецидив
4. DУровни клозапина могут вырасти, повышая риск побочных эффектов, таких как седация и судороги

A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?

1. ASimple indigestion
2. BSerotonin syndrome
3. CLithium toxicity
4. DPancreatitis