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

What is "sundowning" in a person with dementia?

1. AImproved memory and calmness as darkness falls each evening
2. BIncreased confusion and agitation in the late afternoon and evening
3. CSleeping all day and staying awake all night from the start of the illness
4. DSensitivity of the skin to sunlight caused by dementia medicines

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. ALabile
2. BCongruent
3. CBlunted
4. DFlat

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. ASchizophrenia
2. BAttention-deficit hyperactivity disorder
3. CBorderline personality disorder
4. DAlzheimer's disease

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIts anticholinergic effects can cause confusion, urine retention and falls
2. BIt raises blood pressure to dangerous levels in older adults
3. CIt has no effects at all in people over 80, so it will not help her sleep
4. DIt is a strong opioid that causes severe dependence

A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?

1. A"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
2. B"Yes, but you're in the right place now."
3. C"You seem worried about what being here means. Can you tell me more?"
4. D"Of course not. Only crazy people would ask that."

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AScold her for breaking the ward rules and remove all her privileges
2. BIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
3. CGive her a lot of extra attention for the rest of the day
4. DTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AHaloperidol will make his hallucinations more frequent
2. BThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
3. CHaloperidol does not work in older patients at all
4. DThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics

The parent of a 16-year-old taking a stimulant for ADHD says her son's friends keep asking him for his tablets. What should the nurse teach?

1. AStop the medicine so that there is no risk of sharing
2. BStore it securely and never share it, because stimulants are controlled drugs
3. CGive the friends a smaller dose if they ask, so that they do not have side effects
4. DSharing is fine as long as the friends are the same age