Сестринское дело в психиатрии: лист заданий с ответами

The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?

1. AOrientation
2. BAbstract thinking
3. CLevel of consciousness
4. DImmediate memory

What is "enabling" in the context of substance use?

1. AGiving the person information about the effects of the substance
2. BBehaviour by others that protects the person from the consequences of their use
3. CSetting firm limits on what behaviour the family will accept in the home from now on
4. DHelping the person to attend a treatment programme on time

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

1. ASchizoid
2. BHistrionic
3. CParanoid
4. DAvoidant

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. AThat the patient needs to be transferred to another unit
2. BAn ideal therapeutic relationship
3. CPossible boundary problems that she should discuss in supervision
4. DTransference by the patient towards the nurse, which is never the nurse's concern

How should the nurse position herself when talking to an agitated patient?

1. ADirectly face to face, as close as possible, to show confidence
2. BAt a safe distance, slightly to the side, with a clear exit available
3. CBetween the patient and the wall, so the patient can leave easily
4. DBehind the patient and close to him, so that the patient does not feel threatened by eye contact

A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?

1. A"The doctor is very experienced, so you should trust her."
2. B"You feel that people here don't really know you?"
3. C"Why do you think the doctor is wrong about you?"
4. D"Everyone here knows you well, so don't worry."

On the day after hip surgery, a 58-year-old patient has a new tremor, sweating, anxiety and a fast pulse. He did not report any alcohol use on admission. What should the nurse do?

1. AAssume he has post-operative pain and give extra analgesia only
2. BTell him that his symptoms are normal after hip surgery
3. CWait until the next day to see if the symptoms go away on their own once his pain is better controlled
4. DAsk him and his family about his alcohol use and the time of his last drink, and report the findings

A patient with depression answers every question with one or two words and looks at the floor. Which approach is most helpful?

1. AEncourage him to cheer up and think about the good things in his life
2. BUse simple statements, allow extra time for answers and stay with the patient even in silence
3. CEnd the conversation quickly, because the patient clearly does not want to talk
4. DAsk several open questions in quick succession to keep the conversation going