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

What is a safety plan in suicide prevention?

1. AA hospital rule that all patients must stay in their rooms after dark
2. BA plan that the nurse writes alone and keeps from the patient
3. CA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
4. DA legal document in which the patient promises never to harm themselves

A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?

1. ADependent
2. BHistrionic
3. CAvoidant
4. DSchizoid

In behaviour therapy, what is negative reinforcement?

1. ATaking away something unpleasant after a behaviour, which makes it more likely
2. BAdding a reward after a behaviour so that it happens more often
3. CPunishing a behaviour with an unpleasant consequence so that it becomes less likely
4. DIgnoring a behaviour so that it slowly disappears over time

A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?

1. ALeave her alone until the episode has passed on its own
2. BAsk her to close her eyes and think back to the worst moment of the trauma
3. CAsk her to describe the traumatic event in as much detail as she can
4. DAsk her to name things she can see, hear and touch in the room right now

Which communication approach is best with a patient who has paranoid personality disorder?

1. ABe clear, honest and business-like, and explain the reasons for actions
2. BTalk about the patient with colleagues in whispers within his sight
3. CAvoid explaining anything so that the patient does not become suspicious
4. DBe very warm and joke often to put the patient at ease

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. ANeuroleptic malignant syndrome
2. BA relapse of her depression into a severe psychotic depression
3. CAntidepressant discontinuation syndrome
4. DSerotonin syndrome

80-річний хірургічний пацієнт стає сплутаним за ніч, зі змінною увагою й смикає внутрішньовенний катетер. При госпіталізації він був добре орієнтований. Яке тлумачення найдоречніше?

1. AПогана поведінка, що потребує негайної фіксації
2. BШвидке прогресування деменції, яку не можна лікувати, тож подальші тести не потрібні
3. CНормальне старіння, що не потребує дій
4. DІмовірний делірій: шукати основну фізичну причину й повідомити команду

A man has odd beliefs about being able to read minds, dresses eccentrically and has few friends because others make him anxious. He has never had sustained hallucinations or delusions. Which diagnosis fits best?

1. AHistrionic personality disorder with odd dress
2. BSchizophrenia
3. CSchizotypal personality disorder
4. DAntisocial personality disorder