Сестринское дело в психиатрии: лист заданий с ответами

Чем делирий обычно отличается от деменции?

1. AДелирий развивается медленно годами; деменция начинается внезапно и колеблется от часа к часу
2. BДеменция всегда начинается внезапно
3. CЭто одно и то же состояние
4. DДелирий начинается внезапно и колеблется; деменция развивается постепенно за месяцы или годы

Что такое галлюцинация?

1. AНеправильное истолкование реального стимула
2. BБыстрое переключение между темами
3. CЧувственное восприятие без внешнего стимула
4. DУстойчивое ложное убеждение

Каких продуктов должен избегать пациент, принимающий ингибитор моноаминоксидазы (ИМАО)?

1. AСвежих овощей
2. BПродуктов с высоким содержанием тирамина, например выдержанных сыров и копчёных мясных изделий
3. CСвежего молока и натурального йогурта из-за содержания кальция
4. DРиса и макарон

A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?

1. AWithin 5 minutes of the last drink
2. BAbout 2–3 weeks after the last drink
3. COnly after 7 days without alcohol
4. DAbout 6–24 hours after the last drink

What is the PHQ-9 used for?

1. AAssessing the severity of alcohol withdrawal
2. BScreening for depression and measuring its severity
3. CScreening for alcohol problems
4. DMonitoring involuntary movements caused by antipsychotics

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt suggests that the patient's choices are judged against the nurse's standards
2. BIt shows that the nurse is not listening at all
3. CIt always makes the patient angry and more likely to become aggressive towards staff
4. DIt is against the law in mental health settings

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

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

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. AStop answering her calls, because the symptoms are imaginary
2. BAsk the doctor to order new tests every time she reports a symptom
3. CArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
4. DTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way