Сестринское дело в психиатрии: лист заданий с ответами

What is lanugo, which may be seen in severe anorexia nervosa?

1. AFine, soft hair that grows on the body as it tries to conserve heat
2. BPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
3. CLoss of tooth enamel caused by repeated contact with stomach acid
4. DThickening of the skin on the knuckles caused by repeated vomiting

Asked how she slept, a patient describes her evening meal, a television programme and a phone call from her sister in great detail, and finally says that she slept badly. What is this called?

1. APerseveration
2. BThought blocking
3. CTangentiality
4. DCircumstantiality

В чём различие между настроением и аффектом при исследовании психического статуса?

1. AНастроение описывает мышление; аффект описывает память
2. BНастроение — то, что пациент сообщает о своих чувствах; аффект — эмоция, которую наблюдает медсестра
3. CНастроение — то, что наблюдает медсестра у пациента; аффект — то, что пациент сообщает о своих чувствах
4. DНастроение и аффект означают абсолютно одно и то же

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

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

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AOnly after one year at home
2. BOnly while the patient is asleep in hospital
3. CThere is no change in risk after discharge
4. DIn the first weeks after discharge

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

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

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

1. AReport the movements, assess them with a scale such as the AIMS and ask for a medication review
2. BIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
3. CGive benztropine, because it reliably reverses these movements
4. DReassure the patient that the movements will soon stop on their own

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

1. AThe combined anticholinergic effects of her medicines
2. BSudden-onset Alzheimer's disease
3. CThe normal effects of ageing
4. DA sign that she needs a higher dose of amitriptyline