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

To which drug class does methylphenidate belong?

1. AAntipsychotics
2. BCentral nervous system stimulants
3. CMood stabilisers
4. DBenzodiazepines

What is "enabling" in the context of substance use?

1. AHelping the person to attend a treatment programme on time
2. BBehaviour by others that protects the person from the consequences of their use
3. CGiving the person information about the effects of the substance
4. DSetting firm limits on what behaviour the family will accept in the home from now on

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AWithin 3 months
2. BOnly after 2 years
3. CWithin 3 days
4. DOnly after 1 year

Пацієнт наполягає, що персонал труїть його їжу. Який найкращий початковий підхід?

1. AВизнати його страх, не сперечаючись про переконання, і зосередитися на темах, що ґрунтуються на реальності
2. BСперечатися логічно, доки він не визнає, що помиляється
3. CПогодитися з ним, щоб він довіряв
4. DРішуче сказати йому, що їжі він не отримає, доки не перестане висувати звинувачення

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AIbuprofen will make the sertraline work faster
2. BThe combination is completely safe because they act on different systems
3. CIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
4. DThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AGive her a lot of extra attention for the rest of the day
2. BIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
3. CScold her for breaking the ward rules and remove all her privileges
4. DTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings

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. AReassure him that his family will forgive him
2. BChange the subject to his gambling triggers and how to avoid the betting shop
3. CFocus only on helping him create a budget
4. DAsk directly about suicidal thoughts and plans, and assess his risk

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AReduce monitoring, because a higher score on this scale means that his withdrawal is improving
2. BWait for the next routine score in four hours before deciding
3. CGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
4. DEncourage him to drink a large glass of wine to settle the symptoms