Сестринское дело в психиатрии: лист заданий с ответами

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Имя: ____________________   Дата: ____________

1.Лёгкая

When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?

  1. AConcrete thinking
  2. BThought blocking
  3. CFlight of ideas
  4. DTangential thinking
2.Лёгкая

Какой класс препаратов является основным в лечении алкогольной абстиненции?

  1. AБензодиазепины
  2. BАнтипсихотики как лечение первой линии
  3. CОпиоиды
  4. DСИОЗС
3.Лёгкая

A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?

  1. AReflecting feelings
  2. BChanging the subject
  3. CGiving approval
  4. DPresenting reality
4.Средняя

What is the CIWA-Ar scale used for?

  1. ARating the severity of alcohol withdrawal to guide treatment
  2. BMeasuring the depth of sedation in patients on a ventilator in intensive care
  3. CScreening for dementia in older adults
  4. DMeasuring the risk of falls in hospital
5.Средняя

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

  1. AWait until the next day, because he will probably return on his own
  2. BDo nothing, because patients are allowed to leave whenever they want
  3. CRemove his name from the ward list and give his bed to a new patient who is waiting for admission
  4. DStart the missing patient procedure at once, informing the team and, if required, the police
6.Средняя

Which information is essential when documenting the use of physical restraint?

  1. AThe reason for it, alternatives tried, start and end times, and the observations made
  2. BOnly the time the restraint started and the name of the nurse in charge of the shift
  3. CThe full names of the other patients who saw the incident
  4. DThe nurse's personal opinion of the patient's character and attitude
7.Сложная

A patient who has taken haloperidol for many years now has repeated lip smacking and tongue movements. Which action is most appropriate?

  1. AGive benztropine, because it reliably reverses these movements
  2. BReassure the patient that the movements will soon stop on their own
  3. CReport the movements, assess them with a scale such as the AIMS and ask for a medication review
  4. DIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
8.Сложная

A patient in acute mania has slept for 2 hours in 3 nights, is losing weight and is pacing constantly. Which nursing concern is the priority?

  1. ALack of knowledge about the illness
  2. BLow self-esteem
  3. CRisk of physical exhaustion and injury
  4. DDisturbed relationships with her family

Ответы

  1. 1. A · Concrete thinking
  2. 2. A · Бензодиазепины
  3. 3. A · Reflecting feelings
  4. 4. A · Rating the severity of alcohol withdrawal to guide treatment
  5. 5. D · Start the missing patient procedure at once, informing the team and, if required, the police
  6. 6. A · The reason for it, alternatives tried, start and end times, and the observations made
  7. 7. C · Report the movements, assess them with a scale such as the AIMS and ask for a medication review
  8. 8. C · Risk of physical exhaustion and injury

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