Сестринское дело в психиатрии: лист заданий с ответами

Which statement about self-disclosure by the nurse is correct?

1. AIt is helpful when the nurse shares personal problems in detail
2. BIt should be brief, rare and used only to help the patient
3. CIt is never allowed in any situation
4. DIt should be used often to build friendship with the patient

Which sequence shows the five stages of grief described by Kübler-Ross?

1. ADenial, anger, bargaining, depression, acceptance
2. BAcceptance, bargaining, anger, depression, denial
3. CShock, guilt, hope, sadness, recovery
4. DAnger, denial, acceptance, bargaining, depression

In substance use, what does "tolerance" mean?

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

Какая находка при исследовании психического статуса фиксируется в разделе «содержание мышления»?

1. AСкачка идей
2. BНарушенные ассоциации
3. CНавязчивости и бред
4. DДавление речи

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ATell her that her beliefs are not real
2. BAvoid asking about it, because culture is not relevant to mental health
3. CRecord it immediately as a command hallucination
4. DExplore the experience in her cultural context before calling it a symptom

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

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

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. AIllness anxiety disorder
2. BAnorexia nervosa
3. CDelusional disorder, jealous type
4. DBody dysmorphic disorder

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt is acceptable as long as the seclusion lasts for less than an hour
2. BIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
3. CIt is acceptable as long as the patient agrees afterwards
4. DIt is acceptable, because it will make the ward quieter and safer for the other patients