Сестринское дело в психиатрии: лист заданий с ответами

After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?

1. AProjection
2. BUndoing
3. CDenial
4. DSublimation

What is the main focus of the recovery model in mental health care?

1. ALong-term hospital care for everyone with serious mental illness
2. BComplete removal of all symptoms before the person can start to build a good and meaningful life
3. CProfessionals making all decisions for patients for their own good
4. DHope, self-determination and living a meaningful life, even if some symptoms continue

A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?

1. APsychomotor agitation
2. BPsychomotor retardation
3. CAkathisia
4. DCatatonic excitement

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"Of course, as long as you don't tell the other patients."
2. B"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
3. C"That would be against the rules, so please stop asking about it."
4. D"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt is given as a daily tablet that contains tiny magnetic particles
2. BIt needs a general anaesthetic and causes a seizure, like ECT
3. CIt involves surgically implanting electrodes deep in the brain under anaesthetic
4. DIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure

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. CIts anticholinergic effects can cause confusion, urine retention and falls
4. DIt is a strong opioid that causes severe dependence

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. ATell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
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. DLock and unlock the door in front of him each time he asks

A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?

1. AIgnore it, because exercise is always healthy
2. BPraise her for being so active and motivated, because it shows she is taking care of her health
3. CTell her she will be tube-fed if she does it again
4. DCalmly follow the agreed care plan on activity and observation, without arguing or punishing