Сестринское дело в психиатрии: лист заданий с ответами

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. ARaised prolactin and breast enlargement
2. BExtrapyramidal side effects such as dystonia and pseudoparkinsonism
3. CLow white blood cell count
4. DWeight gain and raised blood glucose

What is conversion disorder (functional neurological symptom disorder)?

1. AA belief that one has a serious illness without having any symptoms
2. BA condition in which the person has two or more distinct identities, with gaps in memory between them
3. CNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
4. DDeliberately faking symptoms to get money or avoid work

For which patients is clozapine mainly used?

1. APatients with mild anxiety who need a short-term sedative
2. BPatients having their very first episode of mild psychosis
3. CPatients with schizophrenia that has not responded to two other antipsychotics
4. DOlder patients with dementia who become agitated and restless in the evening

Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?

1. AUnderstand, retain and weigh the information, or communicate their decision
2. BRead and write in the language used by the staff
3. CRemember the decision for more than a year afterwards
4. DAgree with the decision that the doctor and the rest of the healthcare team recommend for them

Which nurse statement is most consistent with motivational interviewing?

1. A"I've decided that you need to stop drinking completely."
2. B"If you don't stop drinking now, you'll die."
3. C"You're an alcoholic, and you need to admit it."
4. D"What would be different for you if you drank less?"

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. ALeave him alone in a dark room so that he can sleep it off
2. BArgue with him that what he sees is not real until he accepts it
3. CStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
4. DShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off

A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?

1. AAnswer once, then follow the agreed plan to limit repeated reassurance
2. BReassure him every time he asks, as often as he needs
3. CTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
4. DLock and unlock the door in front of him each time he asks

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

1. AReport him to the police and his employer for non-adherence to treatment
2. BTell him he must take it for life and refuse to discuss it
3. CAdvise him to stop it suddenly on his own and see what happens over the next month
4. DDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan