Сестринское дело в психиатрии: лист заданий с ответами

Which nurse response is an example of giving advice, a non-therapeutic technique?

1. A"Tell me more about your relationship."
2. B"What options have you thought about?"
3. C"How do you feel about leaving him?"
4. D"If I were you, I would leave him."

Which medicine may be used to treat moderate serotonin syndrome?

1. ACyproheptadine
2. BPhenelzine
3. CTramadol
4. DSertraline

What is "enabling" in the context of substance use?

1. AGiving the person information about the effects of the substance
2. BBehaviour by others that protects the person from the consequences of their use
3. CSetting firm limits on what behaviour the family will accept in the home from now on
4. DHelping the person to attend a treatment programme on time

What is the main difference between disulfiram and naltrexone in alcohol dependence?

1. ADisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
2. BBoth work in exactly the same way, so they are fully interchangeable
3. CNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
4. DDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk

Which findings suggest recent cannabis use?

1. APinpoint pupils, slow breathing and drowsiness
2. BRed eyes, increased appetite, dry mouth and a fast heart rate
3. CSlow heart rate, constricted pupils, drooling and watery eyes
4. DDilated pupils, high fever and severe muscle rigidity

Which treatment is recommended first-line for chronic insomnia in adults?

1. ADrinking alcohol in the evening to fall asleep
2. BCognitive behavioural therapy for insomnia (CBT-I)
3. CLong-term daily benzodiazepines
4. DStaying in bed for longer each morning

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. ADiagnose late-onset schizophrenia and start an antipsychotic immediately
2. BAssume it is normal ageing and take no action
3. CLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
4. DAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests

A patient with PTSD is having a nightmare and thrashing in bed. What is the safest way for the nurse to wake him?

1. AHold his arms down firmly so that he cannot hit anyone or hurt himself while he is still asleep
2. BStand at a safe distance, say his name clearly and tell him where he is
3. CTurn on all the lights and shout loudly so that he wakes up quickly
4. DShake him firmly by the shoulders until he is fully awake