Сестринское дело в психиатрии: лист заданий с ответами

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

1. AРеактивное образование
2. BОтрицание
3. CОтмена содеянного
4. DСмещение

What is anhedonia?

1. AAn inability to fall asleep at night despite feeling very tired during the day
2. BRapid, pressured speech that is hard to interrupt
3. CLoss of interest or pleasure in activities that were enjoyed before
4. DA belief that one's body is diseased or rotting

У пациента паническая атака. Что должна сделать медсестра?

1. AОставить пациента одного, чтобы он успокоился
2. BПодробно объяснить, как развивается паническое расстройство, чтобы пациент понял приступ
3. CПредложить пациенту присоединиться к оживлённому групповому занятию
4. DОставаться с пациентом, говорить спокойно короткими простыми фразами и обеспечить тихое место

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIt raises blood pressure to dangerous levels in older adults
2. BIt has no effects at all in people over 80, so it will not help her sleep
3. CIt is a strong opioid that causes severe dependence
4. DIts anticholinergic effects can cause confusion, urine retention and falls

A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?

1. AThe child does not care about her grandmother and has not been affected by the death
2. BThe child should not be told anything about the death until she is older
3. CThe child is in denial and needs psychiatric treatment
4. DYoung children often do not yet see death as permanent, so simple, honest words help

Which activity is most suitable for a patient in an acute manic episode?

1. AA complicated board game such as chess with other patients
2. BA competitive team game of volleyball
3. CA walk with a staff member
4. DA long group discussion in the day room

A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?

1. AEnsure the child's safety and follow child protection procedures
2. BDischarge the child home with the mother as soon as possible
3. CDiscuss the matter with the mother alone and ask her to stop
4. DDocument the event carefully in the notes and wait to see whether it happens again before telling anyone else

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. ATell him to go home now and come back tomorrow morning when he feels calmer and safer
2. BLet him leave, because voluntary patients can always go when they want
3. CAsk him to promise that he will not jump, and then let him go home on his own
4. DStay with him and inform the team at once, so he can be urgently assessed under mental health law