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

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

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

A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?

1. AGiving approval
2. BGiving recognition
3. CVoicing doubt
4. DPresenting reality

Which pattern of decline is typical of vascular dementia?

1. AStepwise, with sudden worsening after each new vascular event
2. BVery gradual and steady from the start, without sudden changes
3. CComplete recovery within a few weeks
4. DRapid improvement after starting antipsychotic medicine

How may depression present differently in adolescents than in adults?

1. AWith increased energy and less need for sleep
2. BWith a high fever and a rash
3. CAlways with psychotic symptoms
4. DWith irritability rather than obvious sadness

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

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

Яка група ознак вказує на серотоніновий синдром?

1. AЗбільшення ваги та сухість у роті
2. BПовільно наростаюча ригідність зі зниженими рефлексами та високою гарячкою протягом кількох днів після антипсихотика
3. CНизька температура та повільний серцевий ритм
4. DАжитація, потовиділення, тремор, гіперрефлексія та клонус, що починаються протягом годин після зміни препарату

A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?

1. AAsking the assistant to take routine vital signs of a stable patient
2. BAsking the assistant to help a patient with personal hygiene
3. CAsking the assistant to sit with a calm patient during a group art activity and report any concerns
4. DAsking the assistant to decide whether a patient needs a second dose of a PRN sedative

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. AArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
2. BAsk the doctor to order new tests every time she reports a symptom
3. CStop answering her calls, because the symptoms are imaginary
4. DTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way