Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
What is agoraphobia?
AFear of one specific object or animal, such as spiders, dogs or snakes
BFear of being judged or embarrassed while speaking or eating in front of others
CFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
DFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
2.Лёгкая
Человек, испытывающий сильную враждебность к соседу, чрезмерно дружелюбен и щедр с ним. Какой это защитный механизм?
AСмещение
BКомпенсация
CОтрицание
DРеактивное образование
3.Лёгкая
Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?
ASummarising
BExploring
CRestating
DFocusing
4.Средняя
A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?
A"That's not true. I've helped you all day."
B"You shouldn't talk to people like that."
C"If you speak to me like that, I'm leaving."
D"You sound very angry. Tell me what has happened."
5.Средняя
When is the best time to teach a patient with an anxiety disorder a relaxation technique?
AWhen the patient's anxiety is at a mild level
BDuring a panic attack, when the patient needs it most
COnly after the patient has been discharged from hospital
DWhen the patient's anxiety is severe, so that the effect can be seen clearly
6.Средняя
A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?
AIncreased sedation and respiratory depression
BThe diazepam will block the pain-relieving effect of oxycodone
CThe combination will cause high blood pressure
DThere is no interaction between these two drugs
7.Сложная
Two days after surgery, a 79-year-old woman is quiet and drowsy, stares into space and gives muddled answers that vary through the day. Her daughter says she was sharp before. What is most likely?
ANormal tiredness after anaesthesia
BAdvanced dementia
CDepression after surgery
DHypoactive delirium
8.Сложная
An older woman living with her son looks thin and unkempt. She says her son "looks after the money" and she is often hungry. What should the nurse do?
AAsk the son in front of her whether he is stealing her money
BTell her that she must move out of her son's home at once and stay with friends until the matter is sorted out
CTalk to her privately, document the findings and raise an adult safeguarding concern
DIgnore it, because family finances are a private matter
Ответы
1. C · Fear of situations where escape might be difficult or help unavailable, such as crowds or public transport
2. D · Реактивное образование
3. A · Summarising
4. D · "You sound very angry. Tell me what has happened."
5. A · When the patient's anxiety is at a mild level
6. A · Increased sedation and respiratory depression
7. D · Hypoactive delirium
8. C · Talk to her privately, document the findings and raise an adult safeguarding concern
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