Сестринское дело в психиатрии: лист заданий с ответами

A patient believes that the newsreader on television is sending him personal messages. What is this called?

1. AAn illusion
2. BA somatic delusion
3. CAn idea of reference
4. DThought insertion

What is the CAGE questionnaire used for?

1. AScreening for problem drinking
2. BMeasuring the severity of opioid withdrawal
3. CRating the severity of a patient's depression
4. DAssessing cognitive function in older adults

What is systematic desensitisation?

1. AGradual exposure to a feared situation, step by step, while using relaxation
2. BTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
3. CA medicine that reduces anxiety within minutes of being taken
4. DSudden and prolonged exposure to the most feared situation at once

A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?

1. ALeave the patient alone until he asks to talk
2. BTell the patient that talking is required to be discharged
3. CAsk a series of direct questions until he answers
4. DSpend short, regular periods with the patient without forcing conversation

Which activity is most suitable for a patient in an acute manic episode?

1. AA complicated board game such as chess with other patients
2. BA long group discussion in the day room
3. CA competitive team game of volleyball
4. DA walk with a staff member

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. AGive an intramuscular injection at once without offering any choice
2. BPlace him in seclusion and then decide about medicine later
3. CHide the medicine in his drink without telling him
4. DOffer the oral medicine first, before considering an injection

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe nurse has made an error and should cancel the discharge
2. BThe patient no longer needs the sessions and should be discharged at once
3. CThe patient is reacting to the coming end of the relationship
4. DThe patient has developed a new psychotic illness

The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?

1. ALong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere
2. BFamily-based treatment, in which the parents take an active role in restoring the child's eating
3. CMedicine alone, because therapy is not effective in adolescents
4. DLeaving the young person to decide on her own when to start eating more