Сестринское дело в психиатрии: лист заданий с ответами

A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?

1. ASeclusion in a quiet room
2. BBright light therapy
3. CLithium carbonate
4. DElectroconvulsive therapy

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. ALithium
2. BDantrolene
3. CFluoxetine
4. DHaloperidol

A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?

1. AChanging the subject
2. BFocusing
3. CSummarising
4. DRestating

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
2. B"That would be against the rules, so please stop asking about it."
3. C"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
4. D"Of course, as long as you don't tell the other patients."

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. AAvoid all fluids so that there is less need to find a toilet
2. BExercise as hard as possible in the heat to burn off the extra weight
3. CDrink enough fluids and avoid overheating, because the medicine can affect temperature control
4. DStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction

A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?

1. A"That's wonderful. When will you start?"
2. B"You know that isn't true at all."
3. C"That sounds hard to believe."
4. D"Why do you want to buy the hospital?"

The nurse receives handover for four patients. Which patient should she see first?

1. AA man with schizophrenia who is asking for his PRN laxative
2. BA woman with bipolar disorder who wants to talk about her discharge plans for next week
3. CA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
4. DA newly admitted man with depression who says he has given away his dog and written letters to his children

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe nurse has made an error and should cancel the discharge
2. BThe patient has developed a new psychotic illness
3. CThe patient no longer needs the sessions and should be discharged at once
4. DThe patient is reacting to the coming end of the relationship