Сестринское дело в психиатрии: лист заданий с ответами

How does binge-eating disorder differ from bulimia nervosa?

1. AThe person always has a very low body weight and a fear of gaining weight
2. BBinges happen only once a year, so they are not a problem
3. CThe person never feels a loss of control while eating
4. DThere are no regular compensatory behaviours, such as vomiting or laxative use

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AOnly after 1 year
2. BWithin 3 days
3. COnly after 2 years
4. DWithin 3 months

Каков наиболее серьёзный гематологический риск клозапина?

1. AАгранулоцитоз (тяжёлая нейтропения)
2. BПовышение тромбоцитов
3. CПерегрузка железом
4. DПолицитемия

How should a patient take sublingual buprenorphine-naloxone tablets?

1. ASwallow the tablet whole with a large glass of water
2. BLet the tablet dissolve completely under the tongue without chewing or swallowing it
3. CCrush the tablet and mix it with a spoonful of soft food such as yoghurt
4. DChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
2. BGive her a lot of extra attention for the rest of the day
3. CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
4. DScold her for breaking the ward rules and remove all her privileges

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AThere is no change in risk after discharge
2. BIn the first weeks after discharge
3. COnly after one year at home
4. DOnly while the patient is asleep in hospital

A school nurse is teaching about inhalant use such as sniffing glue or aerosols. Which risk should be stressed?

1. AThere is no physical risk, because the substances are legal
2. BInhalants are only dangerous if they are mixed with alcohol
3. CInhalants cause only a mild headache and nothing else
4. DSudden death from a heart arrhythmia, even on the first use

The family of a patient with schizophrenia asks how they can tell if he is becoming unwell again. Which signs should the nurse teach them to watch for?

1. APoor sleep, withdrawal from others and increasing suspiciousness
2. BA better appetite and more interest in his hobbies
3. CMild dry mouth in the first week of a new medicine
4. DTalking more openly with his family about his feelings and his plans for the future