Сестринское дело в психиатрии: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
Haloperidol belongs to which group of antipsychotics?
ABenzodiazepines with an added antipsychotic effect
BSelective serotonin reuptake inhibitors used for psychosis
CSecond-generation (atypical) antipsychotics
DFirst-generation (typical) antipsychotics
2.Лёгкая
After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?
AUndoing
BDenial
CSublimation
DProjection
3.Лёгкая
Каковы, по Пеплау, основные фазы отношений «медсестра–пациент»?
AОтрицание, гнев и принятие
BПоступление, лечение и выписка
CОриентация, работа и завершение
DОценка, диагноз и оценка результатов
4.Средняя
A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?
AScold her for breaking the ward rules and remove all her privileges
BIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
CGive her a lot of extra attention for the rest of the day
DTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
5.Средняя
A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?
AArrange for only the senior doctor to see him from now on
BAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
CRespond respectfully but firmly, and keep the same expectations as for other patients
DTell him that he is not as important as he thinks he is
6.Средняя
Когда после последнего приёма алкоголя наиболее вероятно начало белой горячки (delirium tremens)?
AПримерно через 2–4 дня (48–96 часов)
BВ течение 1–2 часов
CЧерез 2 недели
DЧерез 2 месяца
7.Сложная
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?
AThe patient has developed a new psychotic illness
BThe patient is reacting to the coming end of the relationship
CThe nurse has made an error and should cancel the discharge
DThe patient no longer needs the sessions and should be discharged at once
8.Сложная
While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?
ARecognise that anxiety spreads between people, and calm herself first
BMatch the patient's level of anxiety to show empathy
CIgnore her own reaction, because the nurse's feelings do not matter in patient care
DLeave the patient immediately and not return
Ответы
1. D · First-generation (typical) antipsychotics
2. A · Undoing
3. C · Ориентация, работа и завершение
4. D · Treat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
5. C · Respond respectfully but firmly, and keep the same expectations as for other patients
6. A · Примерно через 2–4 дня (48–96 часов)
7. B · The patient is reacting to the coming end of the relationship
8. A · Recognise that anxiety spreads between people, and calm herself first
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