Сестринское дело в психиатрии: лист заданий с ответами
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According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?
AWorking phase
BOrientation phase
CTermination phase
DPre-interaction phase
3.Лёгкая
Which early feature is most typical of frontotemporal dementia?
AChanges in personality and behaviour, such as loss of inhibition
BStepwise decline after a series of small strokes
CVisual hallucinations of people and animals
DSevere memory loss as the very first symptom, with no change in behaviour
4.Средняя
How may depression present differently in adolescents than in adults?
AWith increased energy and less need for sleep
BWith a high fever and a rash
CWith irritability rather than obvious sadness
DAlways with psychotic symptoms
5.Средняя
19-летний пациент только что начал принимать антидепрессант. За чем медсестре нужно особенно внимательно наблюдать в первые недели?
AЗа новыми или усиливающимися суицидальными мыслями или поведением
BЗа выпадением волос
CЗа изменением цвета глаз
DЗа быстрым набором массы тела
6.Средняя
What is the main difference between disulfiram and naltrexone in alcohol dependence?
ADisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
BBoth work in exactly the same way, so they are fully interchangeable
CDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
DNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
7.Сложная
A woman who takes lithium for bipolar disorder tells the nurse she would like to become pregnant. What is the best response?
A"You'll need to choose between treating your bipolar disorder and having a baby."
B"Stop the lithium today so that it is out of your body before you get pregnant."
C"Lithium is completely safe in pregnancy, so there is no need to change anything at all."
D"Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
8.Сложная
An older patient receiving haloperidol for agitation has an episode of fainting and palpitations. Which test does the nurse expect to be ordered first?
AA white blood cell count with differential
BA serum lithium level
CA liver function test
DAn ECG to look for a prolonged QT interval
Ответы
1. D · Подавление сознательно; вытеснение бессознательно
2. B · Orientation phase
3. A · Changes in personality and behaviour, such as loss of inhibition
4. C · With irritability rather than obvious sadness
5. A · За новыми или усиливающимися суицидальными мыслями или поведением
6. C · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
7. D · "Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
8. D · An ECG to look for a prolonged QT interval
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