Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
Which signs suggest acute cocaine intoxication?
ASlurred speech, an unsteady gait and a strong smell of alcohol on the breath
BRed eyes, increased appetite, dry mouth and slowed reactions
CDilated pupils, a fast heart rate and high blood pressure
DPinpoint pupils, slow breathing and drowsiness
2.Лёгкая
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
AMaintenance of change
BPrecontemplation
CContemplation
DPreparation
3.Лёгкая
According to Erikson, what is the main psychosocial task of adolescence?
AIntegrity versus despair
BIndustry versus inferiority
CTrust versus mistrust
DIdentity versus role confusion
4.Средняя
Which criteria are needed for a diagnosis of intellectual disability?
AProblems with reading only, with normal everyday functioning
BMemory loss and confusion that start for the first time after the age of 65
CLimits in both intellectual and adaptive functioning, starting in childhood
DAn IQ score alone, measured at any time in adult life
5.Средняя
Which treatment is recommended first-line for chronic insomnia in adults?
AStaying in bed for longer each morning
BDrinking alcohol in the evening to fall asleep
CLong-term daily benzodiazepines
DCognitive behavioural therapy for insomnia (CBT-I)
6.Средняя
Which communication approach is best for a patient with moderate dementia?
ASpeak loudly and quickly so that the patient stays alert
BUse abstract language and long explanations so the patient feels respected
CAsk several questions together to save time
DUse short, simple sentences and give one instruction at a time
7.Сложная
A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?
AThat the plan has failed and should be stopped immediately
BThat the tantrums are caused by a physical illness
CAn extinction burst, which is expected before the behaviour decreases
DThat the child needs firm punishment for each tantrum instead
8.Сложная
A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?
A"Well, if the others let you, I suppose it's fine this once."
B"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."
C"I'll let you if you promise not to tell anyone else about it."
D"Smoking is only allowed in the garden, and that rule is the same for everyone."
Ответы
1. C · Dilated pupils, a fast heart rate and high blood pressure
2. B · Precontemplation
3. D · Identity versus role confusion
4. C · Limits in both intellectual and adaptive functioning, starting in childhood
5. D · Cognitive behavioural therapy for insomnia (CBT-I)
6. D · Use short, simple sentences and give one instruction at a time
7. C · An extinction burst, which is expected before the behaviour decreases
8. D · "Smoking is only allowed in the garden, and that rule is the same for everyone."
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