Сестринское дело в психиатрии: лист заданий с ответами

Человек, испытывающий сильную враждебность к соседу, чрезмерно дружелюбен и щедр с ним. Какой это защитный механизм?

1. AСмещение
2. BКомпенсация
3. CОтрицание
4. DРеактивное образование

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. ACatastrophising
2. BPersonalisation
3. CMind reading
4. DEmotional reasoning

После критики руководителя женщина приходит домой и кричит на детей. Какой это защитный механизм?

1. AСмещение
2. BОтмена содеянного
3. CРеактивное образование
4. DОтрицание

What should a patient starting zolpidem for insomnia be taught to report?

1. AFeeling sleepy about 30 minutes after taking it at bedtime
2. BDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
3. CSleeping through the night without waking up
4. DFeeling slightly more rested and alert the next morning than before starting the medicine

According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?

1. AA patient who has not eaten or drunk anything for two days
2. BA patient who feels lonely and wants more visitors
3. CA patient who wants to improve her self-esteem
4. DA patient who wants to find a new hobby

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

1. AErotomanic
2. BGrandiose
3. CSomatic
4. DNihilistic

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AWait for the next routine score in four hours before deciding
2. BGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
3. CReduce monitoring, because a higher score on this scale means that his withdrawal is improving
4. DEncourage him to drink a large glass of wine to settle the symptoms

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe nurse has made an error and should cancel the discharge
2. BThe patient has developed a new psychotic illness
3. CThe patient is reacting to the coming end of the relationship
4. DThe patient no longer needs the sessions and should be discharged at once