Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
Which sequence shows the five stages of grief described by Kübler-Ross?
6-летний мальчик в больнице снова начинает сосать палец и мочиться в постель. Какой это защитный механизм?
AРегрессия
BПроекция
CИнтеллектуализация
DСублимация
3.Лёгкая
A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?
ASummarising
BChanging the subject
CFocusing
DRestating
4.Средняя
Which physical finding is common in bulimia nervosa?
ASwelling of the salivary glands at the angle of the jaw
BVery low body weight with lanugo hair
CRaised blood pressure, a fast pulse and a high temperature
DA high serum potassium level
5.Средняя
What must a patient be told for consent to a new psychotropic medicine to be valid?
ANothing at all, because psychiatric patients cannot give consent
BOnly the benefits, so that the patient is not frightened by the side effects
CThe expected benefits, the main risks and the alternatives, including no treatment
DOnly the name of the medicine and the time of day it will be given
6.Средняя
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
ASit on the edge of the bed for a moment and then stand up slowly
BStop the medicine if the dizziness happens more than once
CGet up quickly to get the blood flowing to the brain
DDrink a cup of strong coffee before getting out of bed each morning
7.Сложная
An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?
ADelirium
BNormal ageing with mild forgetfulness
CA neurocognitive disorder such as Alzheimer's disease
DBrief psychotic disorder in later life
8.Сложная
A 15-year-old tells the school nurse she has been cutting herself and asks her not to tell her parents. What is the best response?
AExplain that safety information must be shared, and involve her in how this is done
BPromise never to tell anyone about it, so that she keeps trusting the school nurse
CTell her that cutting is a phase that many teenagers go through and it needs no help
DPhone her parents at once without telling her
Ответы
1. A · Denial, anger, bargaining, depression, acceptance
2. A · Регрессия
3. B · Changing the subject
4. A · Swelling of the salivary glands at the angle of the jaw
5. C · The expected benefits, the main risks and the alternatives, including no treatment
6. A · Sit on the edge of the bed for a moment and then stand up slowly
7. C · A neurocognitive disorder such as Alzheimer's disease
8. A · Explain that safety information must be shared, and involve her in how this is done
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