Сестринское дело в психиатрии: лист заданий с ответами

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. ADenial, anger and acceptance
2. BAlarm, resistance and exhaustion
3. CForming, storming and norming
4. DOrientation, working and termination

Повышает ли прямой вопрос пациенту о суицидальных мыслях риск самоубийства?

1. AДа; он внушает пациенту эту идею
2. BДа; его должен задавать только психиатр после полного обследования
3. CНет; прямой вопрос безопасен и помогает оценить риск
4. DЭто безопасно только у подростков

Haloperidol belongs to which group of antipsychotics?

1. AFirst-generation (typical) antipsychotics
2. BBenzodiazepines with an added antipsychotic effect
3. CSelective serotonin reuptake inhibitors used for psychosis
4. DSecond-generation (atypical) antipsychotics

How should a nurse screen a patient for intimate partner violence?

1. AAsk in front of the partner to see how he reacts
2. BAsk the partner instead of the patient
3. CAsk in private, without the partner or family present
4. DOnly ask patients who have visible injuries

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
2. B"Of course, as long as you don't tell the other patients."
3. C"That would be against the rules, so please stop asking about it."
4. D"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. AHypertensive crisis from tyramine
2. BLithium toxicity
3. CSerotonin syndrome
4. DAgranulocytosis

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. BPlan a routine follow-up appointment with the health visitor in 2 weeks
3. CReassure her that all new mothers feel this way
4. DKeep the baby safe, never alone with her, and arrange urgent assessment

In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?

1. AShe may be showing resistance as painful topics come closer, which the nurse can gently explore
2. BShe no longer needs any help, so the sessions should end at once
3. CShe is being rude to the nurse on purpose and should be warned
4. DThe nurse has made a serious mistake and should hand her care to a colleague immediately