Сестринское дело в психиатрии: лист заданий с ответами

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1.Лёгкая

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

  1. AA painful erection that does not go away
  2. BDarkening of the skin on the hands and face
  3. CA dry cough
  4. DRinging in the ears
2.Лёгкая

The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?

  1. APerception
  2. BRecent memory
  3. CJudgement
  4. DOrientation
3.Лёгкая

Какой признак типичен для маниакального эпизода?

  1. AЧувство никчёмности
  2. BСниженная потребность во сне при высокой энергии
  3. CЗамедленные речь и движения
  4. DСон по 14 часов в сутки
4.Средняя

What must a patient be told for consent to a new psychotropic medicine to be valid?

  1. AOnly the benefits, so that the patient is not frightened by the side effects
  2. BNothing at all, because psychiatric patients cannot give consent
  3. CThe expected benefits, the main risks and the alternatives, including no treatment
  4. DOnly the name of the medicine and the time of day it will be given
5.Средняя

What should a patient taking chlorpromazine be taught about sun exposure?

  1. ASun exposure has no effect while taking this medicine
  2. BSunbathe for longer each day to improve mood
  3. CAvoid going outside at all, even in winter, for the rest of his life
  4. DUse sunscreen and protective clothing, because the skin may burn easily
6.Средняя

How does aripiprazole differ from most other antipsychotics?

  1. AIt has no effect on dopamine at all
  2. BIt needs weekly white blood cell counts for safety
  3. CIt is a benzodiazepine with antipsychotic effects
  4. DIt is a partial agonist at dopamine D2 receptors
7.Сложная

During a panic attack, a patient breathes very fast and complains of light-headedness and tingling in her fingers and around her mouth. What should the nurse do?

  1. AStay with her and coach her to breathe slowly and steadily
  2. BGive her oxygen at a high flow rate through a mask
  3. CAsk her to breathe into a paper bag for at least 10 minutes
  4. DLeave her alone so that she can calm down without anyone watching
8.Сложная

A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?

  1. ASimple indigestion
  2. BSerotonin syndrome
  3. CPancreatitis
  4. DLithium toxicity

Ответы

  1. 1. A · A painful erection that does not go away
  2. 2. C · Judgement
  3. 3. B · Сниженная потребность во сне при высокой энергии
  4. 4. C · The expected benefits, the main risks and the alternatives, including no treatment
  5. 5. D · Use sunscreen and protective clothing, because the skin may burn easily
  6. 6. D · It is a partial agonist at dopamine D2 receptors
  7. 7. A · Stay with her and coach her to breathe slowly and steadily
  8. 8. C · Pancreatitis

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