Сестринское дело в психиатрии: лист заданий с ответами

A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?

1. A"Tell me what it has been like since she died."
2. B"Everybody feels that way sometimes. You'll get over it."
3. C"Losing your wife must have been very hard for you."
4. D"It sounds very lonely without her."

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AConfront the parents and ask them directly whether they hurt the child
2. BReport the concern according to child protection procedures
3. CWait until there is clear proof before telling anyone
4. DInvestigate the family alone at home before reporting

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. CElectroconvulsive therapy
4. DLithium carbonate

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AScold her for breaking the ward rules and remove all her privileges
2. BGive her a lot of extra attention for the rest of the day
3. CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
4. DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way

Какой набор признаков указывает на злокачественный нейролептический синдром?

1. AНабор массы тела и повышенная глюкоза крови
2. BМелкий тремор и усиление жажды
3. CГиперрефлексия, клонус, диарея, расширенные зрачки и возбуждение в течение часов после нового серотонинергического препарата
4. DВысокая лихорадка, выраженная ригидность мышц по типу «свинцовой трубы», спутанность, нестабильное давление и повышенная КФК

How may depression present differently in adolescents than in adults?

1. AWith increased energy and less need for sleep
2. BWith irritability rather than obvious sadness
3. CWith a high fever and a rash
4. DAlways with psychotic symptoms

A school nurse is teaching about inhalant use such as sniffing glue or aerosols. Which risk should be stressed?

1. AInhalants cause only a mild headache and nothing else
2. BSudden death from a heart arrhythmia, even on the first use
3. CThere is no physical risk, because the substances are legal
4. DInhalants are only dangerous if they are mixed with alcohol

Which intervention is most appropriate for an older patient with delirium?

1. AUse physical restraints at night to prevent falls
2. BMove the patient to a different room each day
3. CProvide orientation cues, make sure glasses and hearing aids are used, and involve the family
4. DKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much