Сестринское дело в психиатрии: лист заданий с ответами
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1.Лёгкая
What is hoarding disorder?
ARepeated checking that all the doors and windows are locked before leaving the house each day
BFear of leaving the home because of crowds and public transport
CPersistent difficulty throwing things away, so that clutter fills the living space
DCollecting a few favourite objects as a hobby that the person enjoys
2.Лёгкая
Which advice is part of good sleep hygiene?
ATake long naps in the afternoon to make up for any lost sleep at night
BHave a large meal and a strong coffee just before going to bed
CUse a phone or tablet in bed until you feel tired enough to sleep
DGet up at the same time each day and avoid caffeine later in the day
3.Лёгкая
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
ASexual abuse
BSelf-neglect by the father
CFinancial abuse
DPhysical abuse
4.Средняя
A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?
AThe child should not be told anything about the death until she is older
BThe child is in denial and needs psychiatric treatment
CYoung children often do not yet see death as permanent, so simple, honest words help
DThe child does not care about her grandmother and has not been affected by the death
5.Средняя
Пациент принимал бензодиазепин ежедневно много месяцев. Почему его нельзя отменять резко?
AУ пациента развилась бы аллергия на него
BЭто вызвало бы немедленный набор массы тела
CРиска нет; бензодиазепины можно отменять в любое время без постепенного снижения
DВнезапная отмена может вызвать сильную тревогу, бессонницу и судороги
6.Средняя
Which findings suggest recent cannabis use?
ADilated pupils, high fever and severe muscle rigidity
BPinpoint pupils, slow breathing and drowsiness
CRed eyes, increased appetite, dry mouth and a fast heart rate
DSlow heart rate, constricted pupils, drooling and watery eyes
7.Сложная
A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?
ALock him in his room so that he cannot leave
BTell him firmly that he has been retired for 20 years
CUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit
DWalk with him, acknowledge his concern and gently redirect him to an activity
8.Сложная
A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?
ATell her loudly in front of everyone that she must stop
BCall security to remove her from the ward
CAsk the other patients to ignore her and carry on
DCalmly cover her and guide her to her room or a quiet area
Ответы
1. C · Persistent difficulty throwing things away, so that clutter fills the living space
2. D · Get up at the same time each day and avoid caffeine later in the day
3. C · Financial abuse
4. C · Young children often do not yet see death as permanent, so simple, honest words help
5. D · Внезапная отмена может вызвать сильную тревогу, бессонницу и судороги
6. C · Red eyes, increased appetite, dry mouth and a fast heart rate
7. D · Walk with him, acknowledge his concern and gently redirect him to an activity
8. D · Calmly cover her and guide her to her room or a quiet area
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