Сестринское дело в психиатрии: лист заданий с ответами

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

1. ASudden step-by-step decline after small strokes
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. DFluctuating alertness, detailed visual hallucinations and parkinsonism

According to crisis theory, how long does an acute crisis usually last before it resolves in some way?

1. AAbout 1 year
2. BAbout 5 years
3. CAbout 2–3 hours
4. DAbout 4–6 weeks

Чем делирий обычно отличается от деменции?

1. AДелирий начинается внезапно и колеблется; деменция развивается постепенно за месяцы или годы
2. BЭто одно и то же состояние
3. CДеменция всегда начинается внезапно
4. DДелирий развивается медленно годами; деменция начинается внезапно и колеблется от часа к часу

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

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

When is the best time to teach a patient with an anxiety disorder a relaxation technique?

1. AWhen the patient's anxiety is severe, so that the effect can be seen clearly
2. BOnly after the patient has been discharged from hospital
3. CWhen the patient's anxiety is at a mild level
4. DDuring a panic attack, when the patient needs it most

Which pattern suggests premenstrual dysphoric disorder?

1. AMarked mood symptoms in the week before menstruation that improve within a few days after it starts
2. BLow mood throughout the whole month that is not linked to the menstrual cycle
3. CMild bloating the day before a period, without any mood changes
4. DMood symptoms that begin only after the menopause and last for several years

A patient has had delusions and hallucinations for a year. For most of this time he has also had episodes of major depression, but for at least two weeks at a time his psychotic symptoms continued without any mood symptoms. Which diagnosis best fits this pattern?

1. ABrief psychotic disorder
2. BDelusional disorder
3. CMajor depression with psychotic features
4. DSchizoaffective disorder

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. AAsk him to promise that he will not jump, and then let him go home on his own
2. BLet him leave, because voluntary patients can always go when they want
3. CStay with him and inform the team at once, so he can be urgently assessed under mental health law
4. DTell him to go home now and come back tomorrow morning when he feels calmer and safer