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

Why are benzodiazepines used with caution in older adults?

1. AThey have no effect on the brain in older people
2. BThey cause rapid weight gain and diabetes in all older adults
3. CThey raise blood pressure to dangerous levels after a single dose
4. DThey increase the risk of confusion, falls and fractures

Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?

1. ABeing easily startled by loud noises
2. BAvoiding places that remind the person of the event
3. CFlashbacks of the traumatic event
4. DFeeling detached from family and friends

Скільки часу зазвичай потрібно СІЗЗС для повного антидепресивного ефекту?

1. AКілька тижнів (часто приблизно 4–6 тижнів або довше)
2. BБлизько 1 години після першої дози
3. CБлизько 1 доби
4. DБлизько 1 року

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 is a strong opioid that causes severe dependence
3. CIt raises blood pressure to dangerous levels in older adults
4. DIt has no effects at all in people over 80, so it will not help her sleep

A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?

1. A"That sounds hard to believe."
2. B"Why do you want to buy the hospital?"
3. C"That's wonderful. When will you start?"
4. D"You know that isn't true at all."

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt shows that the nurse is not listening at all
2. BIt always makes the patient angry and more likely to become aggressive towards staff
3. CIt is against the law in mental health settings
4. DIt suggests that the patient's choices are judged against the nurse's standards

A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?

1. AAsk the other patients to ignore her and carry on
2. BCall security to remove her from the ward
3. CCalmly cover her and guide her to her room or a quiet area
4. DTell her loudly in front of everyone that she must stop

An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?

1. ADelirium
2. BA neurocognitive disorder such as Alzheimer's disease
3. CNormal ageing with mild forgetfulness
4. DBrief psychotic disorder in later life