Сестринское дело в психиатрии: лист заданий с ответами

A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?

1. AFlight of ideas
2. BWord salad
3. CClang association
4. DThought blocking

A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?

1. ASeeking clarification
2. BGiving recognition
3. COffering self
4. DReflecting feelings

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AWithin 3 months
2. BOnly after 2 years
3. CWithin 3 days
4. DOnly after 1 year

A woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?

1. AGeneralised anxiety disorder
2. BAdjustment disorder with anxiety
3. CAcute stress disorder
4. DPost-traumatic stress disorder

Какой фактор — один из самых сильных предикторов будущего самоубийства?

1. AНахождение в браке
2. BСильная религиозная вера
3. CСтабильная работа
4. DПредыдущая попытка суицида

Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?

1. AIt can cause sudden withdrawal and seizures
2. BIt makes the benzodiazepine effect much stronger
3. CIt causes permanent memory loss after a single dose
4. DIt causes a dangerous rise in blood sugar

A new nurse asks why the therapeutic relationship is different from a social relationship. Which statement is correct?

1. AIt is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
2. BBoth people share their needs equally, as in any friendship
3. CThe patient is responsible for setting the boundaries of the relationship
4. DIt has no fixed end, and it can continue as a friendship after discharge if both the nurse and the patient want it to

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

1. AThe normal effects of ageing
2. BThe combined anticholinergic effects of her medicines
3. CA sign that she needs a higher dose of amitriptyline
4. DSudden-onset Alzheimer's disease