Сестринское дело в психиатрии: лист заданий с ответами

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. ASeizures with loss of consciousness during sleep
2. BInvoluntary swearing in almost every sentence as the main and only symptom
3. CSeveral motor tics and at least one vocal tic for over a year, starting before 18
4. DA single motor tic that lasts for 2 weeks in an adult

Студент, провалившийся на экзамене, говорит: «Вопросы были несправедливые, так что это неважно». Какой это защитный механизм?

1. AРационализация
2. BКонверсия
3. CИдентификация
4. DВытеснение

In behaviour therapy, what is positive reinforcement?

1. AAdding an unpleasant consequence so that a behaviour stops
2. BIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
3. CAdding a reward after a behaviour so that the behaviour becomes more likely
4. DRemoving a reward so that a behaviour becomes less likely

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey take 4–6 weeks to have any effect on anxiety, like antidepressants
2. BThey are safe to stop suddenly after many months of daily use
3. CThey give rapid relief but are generally used only short-term because of tolerance and dependence
4. DThey are the preferred long-term treatment for generalised anxiety disorder

How should a patient take sublingual buprenorphine-naloxone tablets?

1. ASwallow the tablet whole with a large glass of water
2. BLet the tablet dissolve completely under the tongue without chewing or swallowing it
3. CCrush the tablet and mix it with a spoonful of soft food such as yoghurt
4. DChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster

Which goal for a patient with depression is written in a SMART way?

1. A"The patient will be happier."
2. B"The patient will improve her mood and sleep and start exercising more at some point."
3. C"The patient will walk with staff for 15 minutes once a day by Friday."
4. D"The patient will feel better soon."

A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?

1. AReassure her that all new mothers feel this way
2. BEncourage her to spend more time alone with the baby so that they can bond
3. CKeep the baby safe, never alone with her, and arrange urgent assessment
4. DPlan a routine follow-up appointment with the health visitor in 2 weeks

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AHaloperidol does not work in older patients at all
2. BThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
3. CHaloperidol will make his hallucinations more frequent
4. DThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia