Сестринское дело в психиатрии: лист заданий с ответами

Which statement about self-disclosure by the nurse is correct?

1. AIt should be brief, rare and used only to help the patient
2. BIt is never allowed in any situation
3. CIt is helpful when the nurse shares personal problems in detail
4. DIt should be used often to build friendship with the patient

Which early feature is most typical of frontotemporal dementia?

1. AVisual hallucinations of people and animals
2. BChanges in personality and behaviour, such as loss of inhibition
3. CStepwise decline after a series of small strokes
4. DSevere memory loss as the very first symptom, with no change in behaviour

Asked how she slept, a patient describes her evening meal, a television programme and a phone call from her sister in great detail, and finally says that she slept badly. What is this called?

1. ATangentiality
2. BCircumstantiality
3. CPerseveration
4. DThought blocking

Which measurement should be monitored regularly in a patient taking venlafaxine?

1. AVisual acuity
2. BSerum lithium level
3. CPeak expiratory flow
4. DBlood pressure

According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?

1. AA patient who has not eaten or drunk anything for two days
2. BA patient who wants to improve her self-esteem
3. CA patient who feels lonely and wants more visitors
4. DA patient who wants to find a new hobby

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt is given as a daily tablet that contains tiny magnetic particles
2. BIt involves surgically implanting electrodes deep in the brain under anaesthetic
3. CIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
4. DIt needs a general anaesthetic and causes a seizure, like ECT

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. AIt proves she has severe major depression with psychosis
2. BIt means she has delirium and needs urgent tests
3. CIt is a sign of schizophrenia that needs antipsychotic medicine
4. DBrief experiences like this can be part of normal grief

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. ANeuroleptic malignant syndrome from his antipsychotic medicine
2. BWater intoxication from psychogenic polydipsia
3. CDehydration caused by anticholinergic side effects
4. DA worsening of his psychosis that needs a higher dose of antipsychotic