Сестринское дело в психиатрии: лист заданий с ответами

The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?

1. AImmediate memory
2. BLevel of consciousness
3. CAbstract thinking
4. DOrientation

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

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

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. ASchizophrenia
2. BAlzheimer's disease
3. CBorderline personality disorder
4. DAttention-deficit hyperactivity disorder

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. AMemory complaints in older adults are always caused by dementia
2. BDepression in older adults can look like dementia and is treatable
3. CLow mood after the loss of a partner is always normal grief and never needs any assessment
4. DOlder adults cannot be treated for depression

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt shows that the nurse is not listening at all
2. BIt always makes the patient angry and more likely to become aggressive towards staff
3. CIt is against the law in mental health settings
4. DIt suggests that the patient's choices are judged against the nurse's standards

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AScold her for breaking the ward rules and remove all her privileges
2. BGive her a lot of extra attention for the rest of the day
3. CIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
4. DTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings

The parent of a 16-year-old taking a stimulant for ADHD says her son's friends keep asking him for his tablets. What should the nurse teach?

1. AStop the medicine so that there is no risk of sharing
2. BGive the friends a smaller dose if they ask, so that they do not have side effects
3. CStore it securely and never share it, because stimulants are controlled drugs
4. DSharing is fine as long as the friends are the same age

A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?

1. AIgnore the complaint until he mentions it again
2. BTell him to lie down in his room, rest and stop worrying so much about his health
3. CAssess him physically, with vital signs and an ECG if indicated
4. DAgree with the colleague and give him a PRN anxiolytic