Сестринское дело в психиатрии: лист заданий с ответами

Which pattern of decline is typical of vascular dementia?

1. AComplete recovery within a few weeks
2. BStepwise, with sudden worsening after each new vascular event
3. CRapid improvement after starting antipsychotic medicine
4. DVery gradual and steady from the start, without sudden changes

According to crisis theory, how long does an acute crisis usually last before it resolves in some way?

1. AAbout 4–6 weeks
2. BAbout 5 years
3. CAbout 1 year
4. DAbout 2–3 hours

A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?

1. AGiving recognition
2. BPresenting reality
3. CGiving approval
4. DVoicing doubt

What is the main advantage of a long-acting injectable antipsychotic?

1. AIt has no side effects, unlike the oral forms of the same antipsychotic drugs
2. BIt cures schizophrenia after a fixed course of injections
3. CIt improves adherence because the patient does not need to take daily tablets
4. DIt works faster than any oral antipsychotic in an acute crisis

In the termination phase of the nurse–patient relationship, which behaviour is common and should be expected?

1. AThe patient may show anger, sadness or a return of earlier symptoms
2. BThe patient always feels relieved and shows no feelings
3. CThe patient asks for the relationship to start again from the beginning
4. DThe patient finally begins to share their problems for the first time

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I'll tell any new doctor or dentist that I take an MAOI."
2. B"I can take any cold and flu remedy from the pharmacy."
3. C"I'll avoid aged cheese and cured meats."
4. D"A sudden severe headache is a reason to get help straight away."

A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?

1. ALock and unlock the door in front of him each time he asks
2. BReassure him every time he asks, as often as he needs
3. CAnswer once, then follow the agreed plan to limit repeated reassurance
4. DTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. AGive her a placebo tablet instead, without telling her, to see whether she really needs it
2. BAssess her anxiety each time, offer other coping strategies and give it if indicated
3. CRefuse to give it, because she might become dependent
4. DAlways give it as soon as she asks, without assessment