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

What is a token economy?

1. AA programme in which patients earn tokens for target behaviours and swap them for rewards
2. BA form of punishment in which a privilege is removed for every ward rule that the patient breaks
3. CA system that lets patients pay for their own medicines and snacks while on the ward
4. DA method of group therapy based on discussing money problems

Чому медсестра може використати коротку мовчанку під час розмови з пацієнтом у дистресі?

1. AВона означає, що медсестра може ненадовго припинити активно слухати й спланувати наступне запитання
2. BВона показує пацієнтові, що медсестра не погоджується
3. CВона сигналізує, що розмову закінчено
4. DВона дає пацієнтові час подумати й продовжити у власному темпі

In DSM-5, gambling disorder is grouped with which category of disorders?

1. ASubstance-related and addictive disorders
2. BNeurocognitive disorders such as dementia
3. CAnxiety disorders and phobias
4. DPersonality disorders in Cluster B

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

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

У пацієнта на ламотриджині з приводу біполярного розладу з'являється новий висип. Що має зробити медсестра?

1. AНегайно повідомити, бо це може бути початком тяжкої шкірної реакції
2. BПодвоїти дозу
3. CПроігнорувати, бо висипи завжди нешкідливі
4. DНанести зволожувач і продовжити препарат як зазвичай, бо висипи поширені

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. ASerotonin syndrome
2. BAntidepressant discontinuation syndrome
3. CNeuroleptic malignant syndrome
4. DA relapse of her depression into a severe psychotic depression

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AStop the medicine immediately without telling the prescriber
2. BReport the finding, review his eating pattern and suggest giving the medicine after breakfast
3. CIgnore it, because weight changes in children are always normal
4. DAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day

A man with gambling disorder has lost his savings and has large debts. He tells the nurse, "My family would be better off without me." What should the nurse do?

1. AChange the subject to his gambling triggers and how to avoid the betting shop
2. BReassure him that his family will forgive him
3. CAsk directly about suicidal thoughts and plans, and assess his risk
4. DFocus only on helping him create a budget