Робочий аркуш «Медсестринство у сфері психічного здоров’я» з відповідями

A patient says, "If I don't get top marks, I'm a complete failure." Which cognitive distortion is this?

1. APersonalisation
2. BAll-or-nothing thinking
3. CMind reading
4. DCatastrophising

How does binge-eating disorder differ from bulimia nervosa?

1. ABinges happen only once a year, so they are not a problem
2. BThe person never feels a loss of control while eating
3. CThere are no regular compensatory behaviours, such as vomiting or laxative use
4. DThe person always has a very low body weight and a fear of gaining weight

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. ARaised prolactin and breast enlargement
2. BExtrapyramidal side effects such as dystonia and pseudoparkinsonism
3. CLow white blood cell count
4. DWeight gain and raised blood glucose

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are signs of an allergic reaction, so she should never take lithium again
2. BThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
3. CThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
4. DThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
2. BIt is safe in pregnancy and needs no special precautions
3. CIt must be taken with grapefruit juice to be absorbed
4. DIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. ATalk with the patient at length about calories during the meal
2. BSupervise the meal and observe the patient for an agreed period afterwards
3. CAllow the patient to choose to skip meals if she says she feels full or unwell
4. DLet the patient eat alone in her room for privacy

A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?

1. AAnswer once, then follow the agreed plan to limit repeated reassurance
2. BLock and unlock the door in front of him each time he asks
3. CTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
4. DReassure him every time he asks, as often as he needs

Which intervention is most appropriate for an older patient with delirium?

1. AMove the patient to a different room each day
2. BKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
3. CUse physical restraints at night to prevent falls
4. DProvide orientation cues, make sure glasses and hearing aids are used, and involve the family