Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
APsychomotor retardation
BAkathisia
CPsychomotor agitation
DCatatonic excitement
2.Лёгкая
Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?
AHaloperidol
BDantrolene
CLithium
DFluoxetine
3.Лёгкая
To which drug class does methylphenidate belong?
ACentral nervous system stimulants
BAntipsychotics
CMood stabilisers
DBenzodiazepines
4.Средняя
A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?
AAnorexia; dangerously low body weight and bradycardia
BPica; poisoning such as lead toxicity, or bowel obstruction
CBulimia; severe hypokalaemia from vomiting
DARFID; the risk of choking on food
5.Средняя
The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?
AGive it just before bedtime so that it works overnight
BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
CIt causes weight gain, so offer fewer snacks during the day
DGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
6.Средняя
Which criteria are needed for a diagnosis of intellectual disability?
ALimits in both intellectual and adaptive functioning, starting in childhood
BAn IQ score alone, measured at any time in adult life
CMemory loss and confusion that start for the first time after the age of 65
DProblems with reading only, with normal everyday functioning
7.Сложная
On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?
ACarrying out the full admission suicide risk assessment of a newly admitted patient
BAccompanying a stable patient to the dining room and recording his food intake
CEvaluating whether a PRN medicine given an hour ago has worked
DTeaching a patient about the side effects of lithium
8.Сложная
A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?
ANaltrexone blocks opioid analgesics, so pain relief needs to be planned differently
BNaltrexone makes opioids much stronger, so smaller doses must be used
CNaltrexone causes broken bones to heal more slowly
DIt is not relevant, because naltrexone only affects the way the body responds to alcohol
Ответы
1. A · Psychomotor retardation
2. B · Dantrolene
3. A · Central nervous system stimulants
4. B · Pica; poisoning such as lead toxicity, or bowel obstruction
5. D · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
6. A · Limits in both intellectual and adaptive functioning, starting in childhood
7. B · Accompanying a stable patient to the dining room and recording his food intake
8. A · Naltrexone blocks opioid analgesics, so pain relief needs to be planned differently
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