精神科护理
方法
- 判断是否存在即时风险:自杀、暴力、药物急症或躯体疾病。
- 先保障安全:观察、移除危险物品、缓和局面、停用有害药物、寻求帮助。
- 选择治疗性回应:承认感受、陈述现实,避免虚假的安慰和“为什么”式提问。
- 尊重权利:采用限制最少的方案,知情同意,以及保密及其限度。
公式表、每个专题的关键方法步骤和 6 道练习题,完整解答附在最后。
Why is the nurse's body language important in therapeutic communication?
A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?
素质—应激模型认为精神障碍源于:
艾伦和阿兹林在精神科病房引入了代币制。其主要发现和局限是什么?
A 19-year-old starts an SSRI for depression. Which is most important for the nurse to monitor during the first weeks?
A patient on disulfiram becomes flushed, nauseated and has palpitations after using a mouthwash. What is the most likely cause?
答案: B · Patients often respond more to non-verbal messages than to the words used
Posture, eye contact, facial expression and tone carry much of the message. When words and body language do not match, patients tend to believe the non-verbal message.
答案: C · Stay with him and inform the team at once, so he can be urgently assessed under mental health law
A voluntary patient who shows immediate serious risk may need urgent assessment under mental health legislation, which often includes short-term holding powers for nurses. The nurse acts quickly to keep him safe.
答案: B · 潜在的易感性与环境应激相结合
该模型认为,(生物或心理的)易感性只有在足够的应激触发下才会导致障碍。
答案: B · 目标行为增加,但效果往往不能泛化到病房之外
代币制增加了长期住院患者的自理和劳动行为,但没有强化时这些改变往往会消退,而且这种方法引发了关于控制的伦理担忧。
答案: C · New or worsening suicidal thoughts or agitation
Antidepressants can increase suicidal thinking in young people, especially early in treatment or after dose changes. Close follow-up and a clear plan for reporting such thoughts are essential.
答案: C · Alcohol in the mouthwash caused a disulfiram–alcohol reaction
Disulfiram reactions can occur with small amounts of alcohol in mouthwash, cough syrups, sauces or aftershave. Patients are taught to check labels and avoid all alcohol-containing products.
ExamProblems · examproblems.com/courses/mental-health-nursing