Сестринское дело в психиатрии: лист заданий с ответами

What is anhedonia?

1. ALoss of interest or pleasure in activities that were enjoyed before
2. BAn inability to fall asleep at night despite feeling very tired during the day
3. CA belief that one's body is diseased or rotting
4. DRapid, pressured speech that is hard to interrupt

How is lithium mainly removed from the body?

1. ABy the liver, in the bile
2. BThrough the lungs, in the breath
3. CThrough the skin, in sweat only
4. DBy the kidneys, in the urine

Какой признак типичен для нервной булимии?

1. AОтсутствие беспокойства о форме тела
2. BОчень низкая масса тела во всех случаях
3. CСтрогое ограничение питания без приступов переедания и компенсаторного поведения
4. DПовторяющиеся приступы переедания с последующим компенсаторным поведением, например рвотой

Which pattern suggests premenstrual dysphoric disorder?

1. AMood symptoms that begin only after the menopause and last for several years
2. BMild bloating the day before a period, without any mood changes
3. CMarked mood symptoms in the week before menstruation that improve within a few days after it starts
4. DLow mood throughout the whole month that is not linked to the menstrual cycle

Какое лекарство с наибольшей вероятностью повысит уровень лития у пациента?

1. AОмепразол
2. BПарацетамол
3. CАмоксициллин
4. DИбупрофен

Чему следует научить пациента, принимающего дисульфирам?

1. AНебольшие количества пива безопасны
2. BИзбегать любого алкоголя, включая скрытые источники, например некоторые ополаскиватели для рта и соусы
3. CОн действует, только если пить алкоголь вместе с ним, поэтому ежедневно нужно немного вина
4. DОн излечивает алкогольную зависимость после одной дозы

A patient on suicide precautions asks for his razor to shave. What is the most appropriate response?

1. ALet another patient lend him a razor so that staff do not need to be involved and he can keep his privacy
2. BRefuse, and tell him he cannot shave at all while in hospital
3. CFollow policy, for example by supervising the shave or offering an electric razor
4. DGive him the razor, because he has the right to his own belongings

A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?

1. ATell the parents that the nurse knows they are abusing the child
2. BReport the concerns through child protection procedures and ensure the child's safety
3. CDischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
4. DAccept the parents' explanation, because babies often fall