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

A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?

1. A"Everybody feels that way sometimes. You'll get over it."
2. B"Losing your wife must have been very hard for you."
3. C"It sounds very lonely without her."
4. D"Tell me what it has been like since she died."

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

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

Which measure has good evidence for reducing suicide deaths?

1. AGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
2. BAvoiding the topic of suicide completely with people at risk
3. CRestricting access to lethal means, such as firearms or large supplies of medicines
4. DAsking the patient to sign a no-suicide contract

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
2. BThe combination is completely safe because they act on different systems
3. CThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
4. DIbuprofen will make the sertraline work faster

What does the Mini-Cog screening test for cognitive impairment involve?

1. ARecall of three words and a clock-drawing task
2. BMeasuring the level of alcohol in the blood
3. CA 30-minute brain scan
4. DA questionnaire about mood over the past 2 weeks

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

Пацієнт із шизофренією відмовляється від антипсихотика, кажучи, що через нього почувається загальмованим. Яка найкраща початкова реакція?

1. AПідмішати ліки в його їжу
2. BСказати, що його зафіксують і зроблять ін'єкцію, якщо він не прийме таблетки через рот
3. CЗаписати «відмовився» і ніколи більше не обговорювати
4. DЗ'ясувати його причини та побічні ефекти й повідомити команду, щоб переглянути лікування

A patient who has taken haloperidol for many years now has repeated lip smacking and tongue movements. Which action is most appropriate?

1. AGive benztropine, because it reliably reverses these movements
2. BIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
3. CReassure the patient that the movements will soon stop on their own
4. DReport the movements, assess them with a scale such as the AIMS and ask for a medication review