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

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
2. BBipolar I involves only depression; bipolar II involves only mania
3. CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
4. DBipolar II is always more severe than bipolar I

A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?

1. ANarcissistic
2. BAntisocial
3. CSchizoid
4. DAvoidant

What is separation anxiety disorder in a child?

1. ANormal crying when a baby meets a stranger for the first time
2. BExcessive, developmentally inappropriate fear of being apart from attachment figures
3. CFear of social situations in which other children may laugh at them
4. DA lack of interest in parents and other close carers, with no distress when they leave

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AIn the first weeks after discharge
2. BOnly after one year at home
3. COnly while the patient is asleep in hospital
4. DThere is no change in risk after discharge

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. ASudden muscle spasm of the neck with the eyes rolled upwards
2. BLip smacking, tongue thrusting and grimacing after years of treatment
3. CRestless pacing and an inability to sit still
4. DShuffling gait, mask-like face, rigidity and a resting tremor

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 definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
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 signs of an allergic reaction, so she should never take lithium again

Пацієнт, який рік приймає клозапін, кидає палити сигарети. Чому це важливо?

1. AРівні клозапіну можуть зрости, підвищуючи ризик побічних ефектів, як-от седація та судоми
2. BКлозапін повністю перестає діяти
3. CРівні клозапіну різко падають, тому дозу зазвичай треба подвоїти, щоб запобігти психотичному рецидиву
4. DЦе зовсім не має значення

A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?

1. AShe should be told that cutting is only attention-seeking behaviour
2. BSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
3. CSelf-injury without suicidal intent never needs any assessment
4. DNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time