Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

What is conversion disorder (functional neurological symptom disorder)?

  1. ADeliberately faking symptoms to get money or avoid work
  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. DA belief that one has a serious illness without having any symptoms
2.Лёгкая

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. AReflecting feelings
  2. BSeeking clarification
  3. COffering self
  4. DGiving recognition
3.Лёгкая

What is the main focus of the recovery model in mental health care?

  1. AProfessionals making all decisions for patients for their own good
  2. BLong-term hospital care for everyone with serious mental illness
  3. CHope, self-determination and living a meaningful life, even if some symptoms continue
  4. DComplete removal of all symptoms before the person can start to build a good and meaningful life
4.Средняя

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

  1. A"The man will go away if you ignore him."
  2. B"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
  3. C"I don't see anyone in the corner, but I know it seems real to you."
  4. D"What does the man in the corner look like?"
5.Средняя

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

  1. AShuffling gait, mask-like face, rigidity and a resting tremor
  2. BLip smacking, tongue thrusting and grimacing after years of treatment
  3. CRestless pacing and an inability to sit still
  4. DSudden muscle spasm of the neck with the eyes rolled upwards
6.Средняя

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

  1. AThe combination will cause high blood pressure
  2. BThe diazepam will block the pain-relieving effect of oxycodone
  3. CIncreased sedation and respiratory depression
  4. DThere is no interaction between these two drugs
7.Сложная

Пациентка с известным паническим расстройством говорит, что у неё боль в груди и трудности с дыханием. Что должна сделать медсестра первым?

  1. AСказать, что это просто очередная паническая атака
  2. BПрочитать ей лекцию о когнитивной реструктуризации
  3. CПопросить её медленно дышать в бумажный пакет и оставить одну, пока паника не пройдёт, как это всегда бывает при паническом расстройстве
  4. DОбследовать её физически, включая жизненные показатели, и сделать ЭКГ по протоколу, прежде чем предполагать панику
8.Сложная

A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?

  1. AHelp him set a quit date for next week
  2. BRefer him straight to a residential detox programme
  3. CDiscuss detailed strategies to prevent a relapse after he has stopped drinking
  4. DOffer non-judgemental information and explore how drinking affects his life

Ответы

  1. 1. C · Neurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
  2. 2. B · Seeking clarification
  3. 3. C · Hope, self-determination and living a meaningful life, even if some symptoms continue
  4. 4. C · "I don't see anyone in the corner, but I know it seems real to you."
  5. 5. A · Shuffling gait, mask-like face, rigidity and a resting tremor
  6. 6. C · Increased sedation and respiratory depression
  7. 7. D · Обследовать её физически, включая жизненные показатели, и сделать ЭКГ по протоколу, прежде чем предполагать панику
  8. 8. D · Offer non-judgemental information and explore how drinking affects his life

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