Сестринское дело в психиатрии: лист заданий с ответами

A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?

1. AApraxia
2. BAtaxia
3. CAphasia
4. DAgnosia

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. AIntellectualisation
2. BReaction formation
3. CDisplacement
4. DRegression

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ADarkening of the skin on the hands and face
2. BA dry cough
3. CRinging in the ears
4. DA painful erection that does not go away

A patient with limited English needs a mental health assessment. Who should interpret?

1. AThe patient's 12-year-old son
2. BA trained professional interpreter
3. CAnother patient on the ward who speaks the language
4. DThe nurse, using an online translation app on her phone for the whole assessment

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. AA relapse of her depression into a severe psychotic depression
2. BSerotonin syndrome
3. CAntidepressant discontinuation syndrome
4. DNeuroleptic malignant syndrome

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

A patient who believes he is a famous religious leader becomes upset when other patients laugh at him. What is the most appropriate nursing action?

1. AAsk him to prove his identity in front of the group, so that the laughing stops
2. BEncourage the other patients to explain why the belief is wrong
3. CAgree that he is the religious leader so that he feels respected
4. DProtect him from ridicule, avoid arguing and focus on real activities

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. AAsk him to promise that he will not jump, and then let him go home on his own
2. BLet him leave, because voluntary patients can always go when they want
3. CStay with him and inform the team at once, so he can be urgently assessed under mental health law
4. DTell him to go home now and come back tomorrow morning when he feels calmer and safer