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

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. AAlarm, resistance and exhaustion
2. BOrientation, working and termination
3. CDenial, anger and acceptance
4. DForming, storming and norming

A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?

1. ASeclusion in a quiet room
2. BBright light therapy
3. CLithium carbonate
4. DElectroconvulsive therapy

Що означає принцип «найменш обмежувальної альтернативи» в охороні психічного здоров'я?

1. AДопомога має обмежувати свободу пацієнта якомога менше, зберігаючи безпеку його й інших
2. BПацієнтів не можна обмежувати жодним чином, навіть за серйозного ризику для них самих чи інших
3. CФіксація має бути першим застосованим заходом
4. DУсі пацієнти мають госпіталізуватися до відділення із замком

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. AHide the medicine in his drink without telling him
2. BOffer the oral medicine first, before considering an injection
3. CGive an intramuscular injection at once without offering any choice
4. DPlace him in seclusion and then decide about medicine later

A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?

1. A"You seem worried about what being here means. Can you tell me more?"
2. B"Of course not. Only crazy people would ask that."
3. C"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
4. D"Yes, but you're in the right place now."

Який моніторинг важливий для пацієнта, що починає приймати вальпроат?

1. AФункція легень і регулярні рентгени грудної клітки через ризик легеневого фіброзу
2. BТести слуху
3. CЛише внутрішньоочний тиск
4. DФункція печінки та ознаки панкреатиту, а також консультування щодо ризиків під час вагітності

On the day after hip surgery, a 58-year-old patient has a new tremor, sweating, anxiety and a fast pulse. He did not report any alcohol use on admission. What should the nurse do?

1. AWait until the next day to see if the symptoms go away on their own once his pain is better controlled
2. BTell him that his symptoms are normal after hip surgery
3. CAsk him and his family about his alcohol use and the time of his last drink, and report the findings
4. DAssume he has post-operative pain and give extra analgesia only

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt is acceptable as long as the patient agrees afterwards
2. BIt is acceptable as long as the seclusion lasts for less than an hour
3. CIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
4. DIt is acceptable, because it will make the ward quieter and safer for the other patients