Сестринское дело в психиатрии: лист заданий с ответами

Сколько времени обычно требуется СИОЗС для полного антидепрессивного эффекта?

1. AНесколько недель (часто около 4–6 недель или дольше)
2. BОколо 1 года
3. CОколо 1 часа после приёма первой дозы
4. DОколо 1 дня

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. AHaloperidol
2. BLithium
3. CDantrolene
4. DFluoxetine

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
2. BTo review what happened, support those involved and learn how to prevent future restraint
3. CTo decide which staff member should be blamed for the incident
4. DTo punish the patient for the behaviour that led to the restraint

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

1. AThe diazepam will block the pain-relieving effect of oxycodone
2. BThe combination will cause high blood pressure
3. CThere is no interaction between these two drugs
4. DIncreased sedation and respiratory depression

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIt has no effects at all in people over 80, so it will not help her sleep
2. BIt is a strong opioid that causes severe dependence
3. CIt raises blood pressure to dangerous levels in older adults
4. DIts anticholinergic effects can cause confusion, urine retention and falls

Which preparation is usual before electroconvulsive therapy (ECT)?

1. AFasting for several hours, because a brief general anaesthetic is given
2. BNo preparation, because the patient stays fully awake during ECT
3. CStopping all regular medicines for 2 weeks before the first treatment
4. DEating a large meal to prevent low blood sugar during the seizure

A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?

1. A"What are your thoughts about the options you have?"
2. B"You should ask your doctor what to do about it."
3. C"Yes, I think you'd be happier without him."
4. D"No, divorce would only make things worse for you."

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. AGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
2. BLet him rest, because the pain will pass when the drug wears off
3. CReassure him that young people do not have heart problems
4. DTreat it as a possible heart attack, with an urgent ECG and medical review