Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
What is trichotillomania?
AA fungal infection of the scalp that is common in people with OCD
BRepeatedly pulling out one's own hair, leading to hair loss
CA fear of hair, combs and hairdressers
DHair loss caused by lithium treatment
2.Лёгкая
Which level of anxiety involves disorganised thinking, an inability to communicate clearly and possible loss of contact with reality?
AMild anxiety
BModerate anxiety
CNormal everyday anxiety
DPanic
3.Лёгкая
What is the difference between empathy and sympathy?
AEmpathy is used only with children and teenagers; sympathy is used only with adult patients
BEmpathy and sympathy mean exactly the same thing in nursing
CEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
DEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
4.Средняя
A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?
APut him in a busy bay with lots of noise and activity to keep him stimulated
BChange his daily routine often, to help him get used to change
CKeep to his usual routines where possible and prepare him for any changes
DAvoid his parents' advice, because staff know best how to care for him
5.Средняя
A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?
AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
BIt must be taken with grapefruit juice to be absorbed
CIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
DIt is safe in pregnancy and needs no special precautions
6.Средняя
Which question is the best way to ask a patient about suicidal thoughts?
A"You wouldn't hurt yourself, would you?"
B"You're not thinking of doing anything silly, are you?"
C"Are you having thoughts of killing yourself?"
D"Things aren't that bad, are they?"
7.Сложная
Пациент с ОКР выполняет длительный ритуал мытья рук и пропускает завтрак. Каков лучший первоначальный подход?
AУказать на бессмысленность ритуала и потребовать немедленно прекратить его перед завтраком
BЗапереть ванную
CОстановить ритуал силой
DДать время на ритуал, составить распорядок с учётом этого и постепенно ограничивать его вместе с пациентом
8.Сложная
A patient with anorexia nervosa is admitted with a BMI of 14, dizziness and low potassium. Which goal is the priority in the first days?
APlanning her return to university and her studies after discharge
BMedical stabilisation, with careful refeeding and correction of electrolytes
CImproving body image through group discussions
DGaining insight into family relationships through therapy
Ответы
1. B · Repeatedly pulling out one's own hair, leading to hair loss
2. D · Panic
3. D · Empathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
4. C · Keep to his usual routines where possible and prepare him for any changes
5. C · It can seriously harm an unborn baby, so effective contraception and specialist advice are essential
6. C · "Are you having thoughts of killing yourself?"
7. D · Дать время на ритуал, составить распорядок с учётом этого и постепенно ограничивать его вместе с пациентом
8. B · Medical stabilisation, with careful refeeding and correction of electrolytes
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