Сестринское дело в психиатрии: лист заданий с ответами

Why are benzodiazepines used with caution in older adults?

1. AThey raise blood pressure to dangerous levels after a single dose
2. BThey have no effect on the brain in older people
3. CThey increase the risk of confusion, falls and fractures
4. DThey cause rapid weight gain and diabetes in all older adults

In a mental status examination, what does assessing orientation check?

1. AWhether the patient knows the time, the place and who they are
2. BWhether the patient's mood matches the facial expression and tone of voice
3. CWhether the patient can interpret proverbs and explain their meaning
4. DWhether the patient understands that they are ill and needs treatment for it

In substance use, what does "tolerance" mean?

1. AHaving withdrawal symptoms when the substance is stopped suddenly
2. BBeing able to stop using the substance at any time without symptoms
3. CFeeling a strong craving to use the substance after a long period without it
4. DNeeding more of the substance to get the same effect

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. AA relapse of her depression into a severe psychotic depression
2. BNeuroleptic malignant syndrome
3. CAntidepressant discontinuation syndrome
4. DSerotonin syndrome

What does the Mini-Cog screening test for cognitive impairment involve?

1. AA 30-minute brain scan
2. BMeasuring the level of alcohol in the blood
3. CA questionnaire about mood over the past 2 weeks
4. DRecall of three words and a clock-drawing task

Какой набор признаков указывает на серотониновый синдром?

1. AМедленно развивающаяся ригидность со сниженными рефлексами и высокой температурой в течение нескольких дней после антипсихотика
2. BВозбуждение, потливость, тремор, гиперрефлексия и клонус, начавшиеся в течение часов после смены препарата
3. CНабор массы тела и сухость во рту
4. DНизкая температура и редкий пульс

A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?

1. ABody dysmorphic disorder
2. BIllness anxiety disorder
3. CDelusional disorder, jealous type
4. DAnorexia nervosa

A patient says, "My boss didn't say hello this morning, so she must think I'm useless." Which cognitive distortion is shown, and what is a helpful nursing response?

1. AMind reading; ask what other reasons there might be for the boss's behaviour
2. BAll-or-nothing thinking; agree that the boss is being unfair
3. CCatastrophising; tell the patient that she will definitely not be fired
4. DPersonalisation; advise the patient to ask for a new manager