Сестринское дело в психиатрии: лист заданий с ответами

Which feature is typical of Korsakoff syndrome?

1. AFever, rigidity and a high creatine kinase
2. BA flapping tremor of the hands caused by liver failure
3. CSevere memory loss with confabulation
4. DPinpoint pupils and slow breathing

What is systematic desensitisation?

1. AGradual exposure to a feared situation, step by step, while using relaxation
2. BSudden and prolonged exposure to the most feared situation at once
3. CA medicine that reduces anxiety within minutes of being taken
4. DTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again

Зачем медсестра может использовать короткое молчание в разговоре с расстроенным пациентом?

1. AОно означает, что медсестра может ненадолго перестать активно слушать и спланировать следующий вопрос
2. BОно показывает пациенту, что медсестра не согласна
3. CОно даёт пациенту время подумать и продолжить в своём темпе
4. DОно сигнализирует, что разговор окончен

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. ALook at the clock often to check how much sleep is being lost
2. BStay in bed and watch television or use a phone until sleep finally comes
3. CIf still awake after about 20 minutes, get up, do something calm and return when sleepy
4. DDo vigorous exercise in the bedroom until tired enough to fall asleep straight away

Which preparation is usual before electroconvulsive therapy (ECT)?

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

A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?

1. A"Yes, but you're in the right place now."
2. B"Of course not. Only crazy people would ask that."
3. C"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
4. D"You seem worried about what being here means. Can you tell me more?"

A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?

1. AIgnore the clutter, because it is her own home
2. BTell her that she will be evicted unless everything is thrown away today
3. CWork with her to clear the exits first, then agree a gradual plan together
4. DArrange for the whole house to be cleared while she is out

A patient in DBT feels a strong urge to self-harm after a distressing phone call. Which DBT skill module is designed to help her get through this moment without making things worse?

1. ACognitive restructuring of core beliefs
2. BInterpersonal effectiveness
3. CDistress tolerance
4. DSystematic desensitisation