Сестринское дело в психиатрии: лист заданий с ответами

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

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

A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?

1. AOffering self
2. BSeeking clarification
3. CReflecting feelings
4. DGiving recognition

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. AInvoluntary swearing in almost every sentence as the main and only symptom
2. BSeizures with loss of consciousness during sleep
3. CA single motor tic that lasts for 2 weeks in an adult
4. DSeveral motor tics and at least one vocal tic for over a year, starting before 18

An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?

1. AA sudden onset of Alzheimer's disease
2. BThe normal ageing process
3. CA first episode of schizophrenia caused by moving into the home
4. DAn infection such as a urinary tract infection, or a medicine side effect

Пациент принимал бензодиазепин ежедневно много месяцев. Почему его нельзя отменять резко?

1. AВнезапная отмена может вызвать сильную тревогу, бессонницу и судороги
2. BЭто вызвало бы немедленный набор массы тела
3. CРиска нет; бензодиазепины можно отменять в любое время без постепенного снижения
4. DУ пациента развилась бы аллергия на него

Which criteria are needed for a diagnosis of intellectual disability?

1. ALimits in both intellectual and adaptive functioning, starting in childhood
2. BAn IQ score alone, measured at any time in adult life
3. CMemory loss and confusion that start for the first time after the age of 65
4. DProblems with reading only, with normal everyday functioning

An 82-year-old started amitriptyline last week. Which finding is most concerning?

1. ANew confusion and difficulty passing urine
2. BFeeling a little drowsy in the evening
3. CA slightly dry mouth
4. DMild constipation that responds to extra fluids and fibre in the diet

A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?

1. AIgnore it, because exercise is always healthy
2. BTell her she will be tube-fed if she does it again
3. CPraise her for being so active and motivated, because it shows she is taking care of her health
4. DCalmly follow the agreed care plan on activity and observation, without arguing or punishing