Сестринское дело в психиатрии: лист заданий с ответами

Which pattern of decline is typical of vascular dementia?

1. AStepwise, with sudden worsening after each new vascular event
2. BRapid improvement after starting antipsychotic medicine
3. CComplete recovery within a few weeks
4. DVery gradual and steady from the start, without sudden changes

A patient smiles and laughs while describing the death of her son. How is this affect described?

1. AEuthymic
2. BRestricted but appropriate
3. CCongruent
4. DIncongruent

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

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

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. AHypertensive crisis from tyramine
2. BAgranulocytosis
3. CLithium toxicity
4. DSerotonin syndrome

What is the Abnormal Involuntary Movement Scale (AIMS) used for?

1. ATo assess the risk of a patient becoming violent
2. BTo rate the severity of depression
3. CTo measure the severity of alcohol withdrawal
4. DTo screen for and monitor tardive dyskinesia

Пациент настаивает, что персонал травит его еду. Какой первоначальный подход лучший?

1. AЛогически спорить, пока он не признает, что неправ
2. BТвёрдо сказать, что ему не дадут еды, пока он не прекратит обвинения
3. CСогласиться с ним, чтобы он доверял
4. DПризнать его страх, не споря о убеждении, и перейти к темам, основанным на реальности

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?

1. ATalk to her privately, document the findings and raise an adult safeguarding concern
2. BTell her that she must move out of her son's home at once and stay with friends until the matter is sorted out
3. CIgnore it, because family finances are a private matter
4. DAsk the son in front of her whether he is stealing her money

A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?

1. ATell him firmly that he will lose his ward privileges unless he gets up and showers at once
2. BWait until he asks to join activities before involving him
3. CLet him stay in bed, because negative symptoms cannot change
4. DAgree a simple daily routine with small, achievable activities and give positive feedback