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

In behaviour therapy, what is negative reinforcement?

1. AAdding a reward after a behaviour so that it happens more often
2. BPunishing a behaviour with an unpleasant consequence so that it becomes less likely
3. CTaking away something unpleasant after a behaviour, which makes it more likely
4. DIgnoring a behaviour so that it slowly disappears over time

Чоловік, якого приваблює колега, звинувачує дружину в бажанні мати роман. Який це механізм захисту?

1. AПридушення
2. BРаціоналізація
3. CПроєкція
4. DРегресія

In a mental status examination, what does assessing orientation check?

1. AWhether the patient can interpret proverbs and explain their meaning
2. BWhether the patient knows the time, the place and who they are
3. CWhether the patient's mood matches the facial expression and tone of voice
4. DWhether the patient understands that they are ill and needs treatment for it

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. AAn MRI of the knee
2. BUrine drug screen only
3. CSerum lithium level
4. DThyroid function tests

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

1. AChange his daily routine often, to help him get used to change
2. BAvoid his parents' advice, because staff know best how to care for him
3. CKeep to his usual routines where possible and prepare him for any changes
4. DPut him in a busy bay with lots of noise and activity to keep him stimulated

A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?

1. ANew or worsening suicidal thoughts or unusual changes in mood or behaviour
2. BA dangerous rise in blood pressure after eating foods that contain tyramine
3. CSigns of physical dependence, because it is a controlled stimulant
4. DSevere weight gain in the first week

A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?

1. AEnsure the child's safety and follow child protection procedures
2. BDischarge the child home with the mother as soon as possible
3. CDocument the event carefully in the notes and wait to see whether it happens again before telling anyone else
4. DDiscuss the matter with the mother alone and ask her to stop

Пацієнтка з відомим панічним розладом каже, що має біль у грудях і труднощі з диханням. Що має зробити медсестра першою?

1. AПрочитати їй лекцію про когнітивне переструктурування
2. BПопросити її повільно дихати в паперовий пакет і залишити саму, доки паніка не мине, як це завжди буває при панічному розладі
3. CФізично оцінити її стан, зокрема життєві показники, і зробити ЕКГ за політикою закладу, перш ніж припускати паніку
4. DСказати їй, що це просто ще одна панічна атака