Сестринское дело в психиатрии: лист заданий с ответами

Литий в основном применяют для лечения:

1. AПанических атак как быстродействующего средства
2. BШизофрении как препарата первой линии
3. CБиполярного расстройства
4. DАлкогольной абстиненции

What type of drug is methadone, used in the treatment of opioid dependence?

1. AA benzodiazepine that reduces anxiety during withdrawal
2. BA long-acting full opioid agonist
3. CAn opioid antagonist that blocks all opioid effects
4. DA non-addictive stimulant that reduces opioid craving

What is a token economy?

1. AA programme in which patients earn tokens for target behaviours and swap them for rewards
2. BA system that lets patients pay for their own medicines and snacks while on the ward
3. CA method of group therapy based on discussing money problems
4. DA form of punishment in which a privilege is removed for every ward rule that the patient breaks

According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?

1. AA patient who wants to find a new hobby
2. BA patient who wants to improve her self-esteem
3. CA patient who has not eaten or drunk anything for two days
4. DA patient who feels lonely and wants more visitors

How should the nurse position herself when talking to an agitated patient?

1. ABehind the patient and close to him, so that the patient does not feel threatened by eye contact
2. BDirectly face to face, as close as possible, to show confidence
3. CAt a safe distance, slightly to the side, with a clear exit available
4. DBetween the patient and the wall, so the patient can leave easily

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. AAntidepressant discontinuation syndrome
2. BNeuroleptic malignant syndrome
3. CA relapse of her depression into a severe psychotic depression
4. DSerotonin syndrome

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

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

A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?

1. AFill in an incident report before checking the patient
2. BAssess the patient, including his vital signs and level of sedation
3. CGive the patient his own prescribed medicine as well, to stay on schedule
4. DSay nothing, because one dose will not cause harm