Сестринское дело в психиатрии: лист заданий с ответами

A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?

1. APresenting reality
2. BVoicing doubt
3. CGiving approval
4. DGiving recognition

In DSM-5, gambling disorder is grouped with which category of disorders?

1. AAnxiety disorders and phobias
2. BPersonality disorders in Cluster B
3. CSubstance-related and addictive disorders
4. DNeurocognitive disorders such as dementia

Пациент говорит: «Я боюсь завтрашней операции». Какой ответ медсестры является примером ложного успокоения?

1. A«Расскажите подробнее о своих чувствах».
2. B«Что больше всего беспокоит вас в завтрашнем дне?»
3. C«Не волнуйтесь, всё будет хорошо».
4. D«Вы звучите напуганным».

A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?

1. ASigns of physical dependence, because it is a controlled stimulant
2. BNew or worsening suicidal thoughts or unusual changes in mood or behaviour
3. CA dangerous rise in blood pressure after eating foods that contain tyramine
4. DSevere weight gain in the first week

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

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

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. AProvide a quiet, low-stimulation environment and keep staff and patient safe
2. BPut him in a busy area so that staff can watch him more easily
3. CEncourage him to walk around the ward and join in activities to help burn off the drug
4. DTry to talk the patient down by discussing his feelings in detail

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. AGrab the chair from the patient quickly before he can use it
2. BTurn her back and walk away slowly without saying anything
3. CKeep a safe distance, call for help and avoid trying to take the chair alone
4. DShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge

While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?

1. ALeave the patient immediately and not return
2. BMatch the patient's level of anxiety to show empathy
3. CRecognise that anxiety spreads between people, and calm herself first
4. DIgnore her own reaction, because the nurse's feelings do not matter in patient care