Сестринское дело в психиатрии: лист заданий с ответами

In obsessive-compulsive disorder, what is an obsession?

1. AA recurrent, unwanted thought, urge or image that causes anxiety
2. BA false belief that is held firmly despite clear evidence that it is untrue
3. CA strong interest in a hobby that the person enjoys very much
4. DA repeated action done to reduce anxiety, such as checking a lock

A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?

1. AElectroconvulsive therapy
2. BLithium carbonate
3. CBright light therapy
4. DSeclusion in a quiet room

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. AAlzheimer's disease
2. BSchizophrenia
3. CAttention-deficit hyperactivity disorder
4. DBorderline personality disorder

Какой совет о соли и жидкости следует дать пациенту, принимающему литий?

1. AПить как можно меньше воды
2. BСоблюдать строгую диету с низким содержанием соли и пить как можно меньше жидкости, особенно в жару
3. CЕжедневно принимать солевые таблетки
4. DПоддерживать стабильное нормальное потребление соли и пить достаточно жидкости, особенно в жару или при болезни

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. ATransference by the patient towards the nurse, which is never the nurse's concern
2. BAn ideal therapeutic relationship
3. CThat the patient needs to be transferred to another unit
4. DPossible boundary problems that she should discuss in supervision

О чём пациента, принимающего клозапин, нужно научить немедленно сообщать?

1. AО лихорадке, боли в горле или других признаках инфекции
2. BО лёгкой сонливости после вечерней дозы
3. CО желании есть больше
4. DО повышенном слюноотделении ночью

A patient with depression answers every question with one or two words and looks at the floor. Which approach is most helpful?

1. AEncourage him to cheer up and think about the good things in his life
2. BAsk several open questions in quick succession to keep the conversation going
3. CEnd the conversation quickly, because the patient clearly does not want to talk
4. DUse simple statements, allow extra time for answers and stay with the patient even in silence

A 20-year-old recovering from a first episode of psychosis smokes cannabis every day. What should the nurse include in teaching?

1. ACannabis use increases the risk of psychotic symptoms returning
2. BCannabis has no effect on mental health
3. CCannabis protects against psychosis and can replace his medicine
4. DSmoking more cannabis will help him sleep and prevent relapse