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

What is agoraphobia?

1. AFear of being judged or embarrassed while speaking or eating in front of others
2. BFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
3. CFear of one specific object or animal, such as spiders, dogs or snakes
4. DFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance

In obsessive-compulsive disorder, what is an obsession?

1. AA strong interest in a hobby that the person enjoys very much
2. BA repeated action done to reduce anxiety, such as checking a lock
3. CA false belief that is held firmly despite clear evidence that it is untrue
4. DA recurrent, unwanted thought, urge or image that causes anxiety

Which nurse response is an example of giving advice, a non-therapeutic technique?

1. A"Tell me more about your relationship."
2. B"How do you feel about leaving him?"
3. C"If I were you, I would leave him."
4. D"What options have you thought about?"

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AShe is not distressed and does not need any support
2. BShe is probably exaggerating the seriousness of what happened, because she does not seem upset
3. CHer calmness shows that the assault did not happen
4. DA controlled response is a common reaction in the acute phase after assault

A patient who started a high-dose corticosteroid (prednisolone or prednisone) a week ago is now euphoric, sleeping little and talking very fast. What should the nurse suspect?

1. AAlcohol withdrawal
2. BA normal reaction to feeling better from the treatment
3. CLithium toxicity
4. DMood changes caused by the corticosteroid

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. AStop the clozapine immediately, because this is a sign of agranulocytosis
2. BExplain that it is a sign of an allergic reaction to the medicine
3. CTell him that it means the clozapine dose is too low and needs to be increased
4. DRecognise it as a common side effect, report it and suggest a towel on the pillow

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. ATell the patient she is only seeking attention
2. BAgree with the colleague and take no action at all
3. CWait until the next morning to see if she still feels the same once the argument has settled down
4. DCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent

A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?

1. AThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
2. BWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
3. CThiamine quickly lowers the blood alcohol level
4. DThiamine prevents all alcohol withdrawal seizures