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

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AConfront the parents and ask them directly whether they hurt the child
2. BInvestigate the family alone at home before reporting
3. CReport the concern according to child protection procedures
4. DWait until there is clear proof before telling anyone

Which group of features is typical of dementia with Lewy bodies?

1. AFluctuating alertness, detailed visual hallucinations and parkinsonism
2. BEarly personality change and loss of social inhibition
3. CSudden step-by-step decline after small strokes
4. DMemory loss only, with no other symptoms or changes in alertness for many years

Which side effects are typical of mirtazapine?

1. ASedation and increased appetite with weight gain
2. BPriapism and a dry cough
3. CHigh blood pressure and tremor
4. DInsomnia, agitation and weight loss

A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?

1. ADrink a cup of strong coffee before getting out of bed each morning
2. BSit on the edge of the bed for a moment and then stand up slowly
3. CGet up quickly to get the blood flowing to the brain
4. DStop the medicine if the dizziness happens more than once

Which activity is most suitable for a patient in an acute manic episode?

1. AA complicated board game such as chess with other patients
2. BA long group discussion in the day room
3. CA competitive team game of volleyball
4. DA walk with a staff member

What is the key difference between factitious disorder and malingering?

1. AMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
2. BThere is no real difference between them, and both terms mean exactly the same thing
3. CIn factitious disorder, the symptoms are not produced on purpose at all
4. DIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward

A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?

1. ATell her that she will be evicted unless everything is thrown away today
2. BWork with her to clear the exits first, then agree a gradual plan together
3. CArrange for the whole house to be cleared while she is out
4. DIgnore the clutter, because it is her own home

The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?

1. AAdvise the parents to stop all contact with their son
2. BTell the parents that they caused his illness
3. CFamily psychoeducation and help to communicate with less criticism
4. DDischarge him to live alone in a flat, without any support from his family or the team