Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
Why are benzodiazepines used with caution in older adults?
AThey have no effect on the brain in older people
BThey cause rapid weight gain and diabetes in all older adults
CThey increase the risk of confusion, falls and fractures
DThey raise blood pressure to dangerous levels after a single dose
2.Лёгкая
A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?
ANarcissistic
BAntisocial
CSchizoid
DAvoidant
3.Лёгкая
When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?
AThought blocking
BFlight of ideas
CTangential thinking
DConcrete thinking
4.Средняя
Когда после последнего приёма алкоголя наиболее вероятно начало белой горячки (delirium tremens)?
AВ течение 1–2 часов
BЧерез 2 месяца
CПримерно через 2–4 дня (48–96 часов)
DЧерез 2 недели
5.Средняя
How should a patient take sublingual buprenorphine-naloxone tablets?
ALet the tablet dissolve completely under the tongue without chewing or swallowing it
BSwallow the tablet whole with a large glass of water
CCrush the tablet and mix it with a spoonful of soft food such as yoghurt
DChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
6.Средняя
A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?
AAgoraphobia
BGeneralised anxiety disorder
CSocial anxiety disorder
DObsessive-compulsive disorder
7.Сложная
The daughter of a man with moderate dementia says she is exhausted, is not sleeping and feels guilty for getting angry with him. What is the most helpful nursing response?
AAcknowledge her strain and discuss support such as respite care and carers' groups
BTell her that good daughters do not get angry with their parents
CAdvise her to take on more responsibility for his care so that she feels less guilty
DSuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
8.Сложная
After a serious bus accident, the nurse is helping uninjured survivors. Which action reflects psychological first aid?
AGive every survivor a benzodiazepine at the scene to prevent long-term psychological problems from developing
BAsk each survivor to describe the accident in full detail straight away
CTell survivors that they will definitely develop PTSD
DProvide safety, comfort and practical help, and connect people with their families and support
Ответы
1. C · They increase the risk of confusion, falls and fractures
2. D · Avoidant
3. D · Concrete thinking
4. C · Примерно через 2–4 дня (48–96 часов)
5. A · Let the tablet dissolve completely under the tongue without chewing or swallowing it
6. C · Social anxiety disorder
7. A · Acknowledge her strain and discuss support such as respite care and carers' groups
8. D · Provide safety, comfort and practical help, and connect people with their families and support
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