Сестринское дело в психиатрии: лист заданий с ответами

6-летний мальчик в больнице снова начинает сосать палец и мочиться в постель. Какой это защитный механизм?

1. AРегрессия
2. BПроекция
3. CСублимация
4. DИнтеллектуализация

A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?

1. AOffering self
2. BGiving recognition
3. CReflecting feelings
4. DSeeking clarification

Что такое галлюцинация?

1. AБыстрое переключение между темами
2. BУстойчивое ложное убеждение
3. CНеправильное истолкование реального стимула
4. DЧувственное восприятие без внешнего стимула

Which preparation is usual before electroconvulsive therapy (ECT)?

1. AFasting for several hours, because a brief general anaesthetic is given
2. BEating a large meal to prevent low blood sugar during the seizure
3. CNo preparation, because the patient stays fully awake during ECT
4. DStopping all regular medicines for 2 weeks before the first treatment

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

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

How does memantine work in Alzheimer's disease?

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

A patient in a mental health unit asks to read his own health records. What is the correct general principle?

1. AOnly his family can request access to his records on his behalf
2. BPatients generally have a right of access, with limited exceptions to prevent serious harm
3. CThe nurse should give him the records immediately without following any procedure
4. DPsychiatric patients are never allowed to see their records

Пациент на оланзапине набрал 8 кг за 3 месяца и сообщает о жажде и частом мочеиспускании. Что должна сделать медсестра?

1. AУспокоить его, что это не связано с препаратом
2. BПосоветовать пить меньше воды
3. CОрганизовать анализ глюкозы крови и сообщить врачу
4. DНемедленно прекратить оланзапин, не сообщив врачу