Сестринское дело в психиатрии: лист заданий с ответами

Why are benzodiazepines used with caution in older adults?

1. AThey increase the risk of confusion, falls and fractures
2. BThey cause rapid weight gain and diabetes in all older adults
3. CThey raise blood pressure to dangerous levels after a single dose
4. DThey have no effect on the brain in older people

In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?

1. APreparation
2. BPrecontemplation
3. CMaintenance of change
4. DContemplation

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. AGiving recognition
2. BOffering self
3. CSeeking clarification
4. DReflecting feelings

Пациент настаивает, что персонал травит его еду. Какой первоначальный подход лучший?

1. AПризнать его страх, не споря о убеждении, и перейти к темам, основанным на реальности
2. BСогласиться с ним, чтобы он доверял
3. CТвёрдо сказать, что ему не дадут еды, пока он не прекратит обвинения
4. DЛогически спорить, пока он не признает, что неправ

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. ALamotrigine will lower the valproate level until it has no effect
2. BValproate raises lamotrigine levels, which increases the risk of a serious rash
3. CThe two drugs together cause severe hair growth
4. DValproate makes lamotrigine work faster, so the dose must be increased quickly

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. AArrange for only the senior doctor to see him from now on
2. BTell him that he is not as important as he thinks he is
3. CRespond respectfully but firmly, and keep the same expectations as for other patients
4. DAvoid him as much as possible, because he is rude and unpleasant to the nursing staff

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

1. ATell him he must take it for life and refuse to discuss it
2. BReport him to the police and his employer for non-adherence to treatment
3. CDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
4. DAdvise him to stop it suddenly on his own and see what happens over the next month

On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?

1. ACarrying out the full admission suicide risk assessment of a newly admitted patient
2. BAccompanying a stable patient to the dining room and recording his food intake
3. CEvaluating whether a PRN medicine given an hour ago has worked
4. DTeaching a patient about the side effects of lithium