Сестринское дело в психиатрии: лист заданий с ответами

What is the main focus of the recovery model in mental health care?

1. ALong-term hospital care for everyone with serious mental illness
2. BComplete removal of all symptoms before the person can start to build a good and meaningful life
3. CProfessionals making all decisions for patients for their own good
4. DHope, self-determination and living a meaningful life, even if some symptoms continue

What is a psychiatric advance directive (advance statement)?

1. AA note from the doctor that lists the patient's diagnoses
2. BA document in which a person states their treatment wishes for a time when they may lack capacity
3. CA contract in which the patient promises the team to take every prescribed medicine for life
4. DA court order that allows a patient to be detained in hospital

What is systematic desensitisation?

1. AA medicine that reduces anxiety within minutes of being taken
2. BGradual exposure to a feared situation, step by step, while using relaxation
3. CTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
4. DSudden and prolonged exposure to the most feared situation at once

Which side effects are most common with quetiapine?

1. AA cough and swollen ankles
2. BInsomnia and severe weight loss
3. CHigh prolactin with breast enlargement in almost every patient
4. DSedation, dizziness when standing and weight gain

A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?

1. A"I'm sure everybody likes you."
2. B"Why do you care what people at work think?"
3. C"You should find a new job where people like you."
4. D"What evidence do you have that nobody likes you?"

Пациент в ответ на вопрос о завтраке говорит: «Яйца из кур, куры живут на фермах, у моего дяди была ферма, он ездил на красном тракторе…» и так и не отвечает. Как это называется?

1. AСоскальзывание (тангенциальность)
2. BОбстоятельность
3. CСловесная окрошка
4. DШперрунг (блокада мышления)

A patient on suicide precautions asks for his razor to shave. What is the most appropriate response?

1. AFollow policy, for example by supervising the shave or offering an electric razor
2. BLet another patient lend him a razor so that staff do not need to be involved and he can keep his privacy
3. CRefuse, and tell him he cannot shave at all while in hospital
4. DGive him the razor, because he has the right to his own belongings

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

1. AIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
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. DGive benztropine, because it reliably reverses these movements