Сестринское дело в психиатрии: лист заданий с ответами

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. AA dry cough
2. BRinging in the ears
3. CA painful erection that does not go away
4. DDarkening of the skin on the hands and face

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. AEchopraxia
2. BWaxy flexibility
3. CTardive dyskinesia
4. DAkathisia

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. ADisplacement
2. BReaction formation
3. CIntellectualisation
4. DRegression

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. AStay in bed and watch television or use a phone until sleep finally comes
2. BIf still awake after about 20 minutes, get up, do something calm and return when sleepy
3. CLook at the clock often to check how much sleep is being lost
4. DDo vigorous exercise in the bedroom until tired enough to fall asleep straight away

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

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

A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?

1. AThe patient can be left alone while asleep
2. BA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
3. CThe patient is checked every hour during the day only
4. DThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free

A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?

1. AStop giving him his medicine at all, because he is not taking it anyway, and record that he refused
2. BCrush all his tablets into his food without telling him
3. CCheck his mouth after each dose, as policy allows, and explore why he does not want it
4. DAccuse him in front of other patients so that he is embarrassed and stops

Пациента находят без реакции, частота дыхания 6/мин, зрачки точечные. Что должна сделать медсестра первым?

1. AПозвать на помощь, обеспечить проходимость дыхательных путей и поддержать дыхание, ввести налоксон по назначению или протоколу
2. BДать большой стакан воды
3. CВвести флумазенил
4. DУложить пациента в устойчивое боковое положение и ждать, пока он проснётся сам, прежде чем кого-либо звать