Сестринское дело в психиатрии: лист заданий с ответами

Which sequence describes the cycle of violence often seen in intimate partner abuse?

1. ATension-building, then a calm phase that lasts for the rest of the relationship
2. BTension-building, acute violence, then reconciliation (the "honeymoon" phase)
3. CReconciliation, acute violence, then tension-building with no further violence
4. DAcute violence, then permanent separation of the partners

What is lanugo, which may be seen in severe anorexia nervosa?

1. APainful swelling of the salivary glands in front of the ears caused by repeated vomiting
2. BFine, soft hair that grows on the body as it tries to conserve heat
3. CLoss of tooth enamel caused by repeated contact with stomach acid
4. DThickening of the skin on the knuckles caused by repeated vomiting

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AOnly after 2 years
2. BWithin 3 months
3. CWithin 3 days
4. DOnly after 1 year

Which psychological treatment is most effective for obsessive-compulsive disorder?

1. AEncouraging the patient to perform the rituals more often
2. BExposure and response prevention, a form of CBT
3. CPsychoanalysis focused on early childhood memories
4. DHypnosis to remove the obsessive thoughts permanently in a single session

Какой диапазон концентрации лития в сыворотке обычно называют поддерживающим терапевтическим?

1. AОколо 0,6–1,2 mmol/L (целевые диапазоны различаются в разных рекомендациях)
2. BОколо 0,01–0,05 mmol/L
3. CОколо 2,0–3,0 mmol/L (более высокие уровни нужны при острой мании)
4. DОколо 3,5–5,0 mmol/L

A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?

1. A"Why do you care what people at work think?"
2. B"You should find a new job where people like you."
3. C"What evidence do you have that nobody likes you?"
4. D"I'm sure everybody likes you."

Пациент в маниакальном эпизоде перебивает других пациентов и становится всё громче в дневной комнате. Какое сестринское действие наиболее уместно?

1. AПредложить соревновательную групповую игру, чтобы потратить энергию
2. BСпокойно проводить пациента в более тихое место с меньшей стимуляцией и установить чёткие простые границы
3. CВключить музыку погромче, чтобы отвлечь группу
4. DСпорить с пациентом о его поведении на глазах у всех, пока он не согласится прекратить

A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?

1. AEncourage her to spend more time alone with the baby so that they can bond
2. BKeep the baby safe, never alone with her, and arrange urgent assessment
3. CReassure her that all new mothers feel this way
4. DPlan a routine follow-up appointment with the health visitor in 2 weeks