Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

  1. AOrientation, working and termination
  2. BDenial, anger and acceptance
  3. CAlarm, resistance and exhaustion
  4. DForming, storming and norming
2.Лёгкая

What is systematic desensitisation?

  1. ASudden and prolonged exposure to the most feared situation at once
  2. BGradual exposure to a feared situation, step by step, while using relaxation
  3. CTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
  4. DA medicine that reduces anxiety within minutes of being taken
3.Лёгкая

Which sequence shows the five stages of grief described by Kübler-Ross?

  1. AShock, guilt, hope, sadness, recovery
  2. BDenial, anger, bargaining, depression, acceptance
  3. CAcceptance, bargaining, anger, depression, denial
  4. DAnger, denial, acceptance, bargaining, depression
4.Средняя

How does memantine work in Alzheimer's disease?

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

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

  1. AValproate makes lamotrigine work faster, so the dose must be increased quickly
  2. BLamotrigine will lower the valproate level until it has no effect
  3. CValproate raises lamotrigine levels, which increases the risk of a serious rash
  4. DThe two drugs together cause severe hair growth
6.Средняя

Which effects of methadone should the nurse monitor for?

  1. AAgranulocytosis and a sore throat
  2. BHypertensive crisis after eating aged cheese
  3. CRespiratory depression, sedation and a prolonged QT interval
  4. DHair loss, weight loss and a painful red rash on the face
7.Сложная

A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?

  1. A"If I get a sore throat or fever, I'll tell someone straight away."
  2. B"I'll need regular blood tests for as long as I take clozapine."
  3. C"The tests are done because clozapine can lower my white cells."
  4. D"After a few months I can stop having blood tests."
8.Сложная

Уровень лития у пациента 1,8 mmol/L. Он говорит, что чувствует себя хорошо, кроме лёгкой тошноты. Что должна сделать медсестра?

  1. AПовторить анализ через 1 месяц
  2. BУвеличить дозу, чтобы предотвратить рецидив
  3. CДать следующую дозу, раз он чувствует себя хорошо
  4. DПриостановить следующую дозу и незамедлительно сообщить врачу

Ответы

  1. 1. C · Alarm, resistance and exhaustion
  2. 2. B · Gradual exposure to a feared situation, step by step, while using relaxation
  3. 3. B · Denial, anger, bargaining, depression, acceptance
  4. 4. D · It blocks NMDA glutamate receptors
  5. 5. C · Valproate raises lamotrigine levels, which increases the risk of a serious rash
  6. 6. C · Respiratory depression, sedation and a prolonged QT interval
  7. 7. D · "After a few months I can stop having blood tests."
  8. 8. D · Приостановить следующую дозу и незамедлительно сообщить врачу

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