Сестринское дело в психиатрии: лист заданий с ответами

Какой препарат является селективным ингибитором обратного захвата серотонина (СИОЗС)?

1. AСертралин
2. BЛитий
3. CДиазепам
4. DГалоперидол

Пациент, которому только что поставили диагноз рака, говорит: «Результаты анализов, должно быть, неверны; я чувствую себя прекрасно». Какой это защитный механизм?

1. AСублимация
2. BСмещение
3. CПроекция
4. DОтрицание

How does naltrexone help people with alcohol dependence?

1. AIt causes vomiting and flushing if the person drinks alcohol
2. BIt blocks opioid receptors and reduces the craving and pleasure from drinking
3. CIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
4. DIt replaces alcohol in the brain and prevents withdrawal seizures

The wife of a man with alcohol dependence organises her life around his drinking, hides it from others and neglects her own needs. What does this pattern suggest?

1. ADelirium tremens
2. BLearned helplessness in the patient
3. CEnabling by the healthcare team
4. DCodependency

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination is completely safe because they act on different systems
2. BThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
3. CIbuprofen will make the sertraline work faster
4. DIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction

Какова классическая триада энцефалопатии Вернике?

1. AСпутанность, атаксия и нарушения движений глаз
2. BТолько головная боль, рвота и нечёткость зрения
3. CЛихорадка, сыпь и ригидность затылочных мышц
4. DТремор, ригидность и замедленность движений

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

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

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