Сестринское дело в психиатрии: лист заданий с ответами

What are the two core areas affected in autism spectrum disorder?

1. AReading and writing only, with completely normal social skills and play
2. BMood and appetite, which change with the seasons
3. CSocial communication and interaction, and restricted, repetitive behaviours or interests
4. DMemory and orientation to time and place

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. ASeeking clarification
2. BGiving recognition
3. CReflecting feelings
4. DOffering self

What is agoraphobia?

1. AFear of being judged or embarrassed while speaking or eating in front of others
2. BFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
3. CFear of one specific object or animal, such as spiders, dogs or snakes
4. DFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"Your mother died 30 years ago. You know that."
2. B"Please stop asking about her now and finish your lunch before it gets cold."
3. C"Your mother will visit you later this afternoon."
4. D"You're thinking about your mother. Tell me about her."

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

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

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

1. AThere is no interaction between these two drugs
2. BThe diazepam will block the pain-relieving effect of oxycodone
3. CThe combination will cause high blood pressure
4. DIncreased sedation and respiratory depression

A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?

1. AGet more staff to hold him so the bath can be finished quickly
2. BAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative
3. CSkip bathing for the rest of his stay
4. DStop, try again later or in a different way, and explain each step calmly

The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?

1. AFamily psychoeducation and help to communicate with less criticism
2. BTell the parents that they caused his illness
3. CDischarge him to live alone in a flat, without any support from his family or the team
4. DAdvise the parents to stop all contact with their son