Сестринское дело в психиатрии: лист заданий с ответами

What is the main mechanism of action of antipsychotic medicines?

1. ABlocking the reuptake of serotonin only
2. BStimulating GABA receptors in the brain
3. CBlocking dopamine D₂ receptors
4. DIncreasing the release of dopamine

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. AEmotional reasoning
2. BMind reading
3. CPersonalisation
4. DCatastrophising

Which group of features is typical of dementia with Lewy bodies?

1. AFluctuating alertness, detailed visual hallucinations and parkinsonism
2. BEarly personality change and loss of social inhibition
3. CMemory loss only, with no other symptoms or changes in alertness for many years
4. DSudden step-by-step decline after small strokes

Какой принцип применим к использованию физической фиксации?

1. AЕё не нужно документировать
2. BЭто крайняя мера, когда менее ограничительные меры не помогли, с тщательным наблюдением и освобождением, как только это безопасно
3. CЕё можно применять как наказание за нарушение правил
4. DЕё можно применять для удобства персонала в загруженную смену, если это задокументировано и пересмотрено командой после

According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?

1. AA patient who feels lonely and wants more visitors
2. BA patient who has not eaten or drunk anything for two days
3. CA patient who wants to improve her self-esteem
4. DA patient who wants to find a new hobby

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. AStart the missing patient procedure at once, informing the team and, if required, the police
2. BRemove his name from the ward list and give his bed to a new patient who is waiting for admission
3. CWait until the next day, because he will probably return on his own
4. DDo nothing, because patients are allowed to leave whenever they want

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. AAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
2. BDiagnose late-onset schizophrenia and start an antipsychotic immediately
3. CAssume it is normal ageing and take no action
4. DLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder

A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?

1. ASay nothing, because it is not her responsibility
2. BReport the concern immediately to the nurse in charge, following policy, to protect patients
3. CGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
4. DWait until the end of the shift, then talk privately with the colleague