Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

What is countertransference?

1. AThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
2. BThe transfer of a patient's care to another nurse at the end of a shift
3. CThe patient's feelings towards the nurse, based on earlier relationships
4. DThe patient repeating the nurse's words and gestures without understanding their meaning

Pacjent, u którego właśnie rozpoznano nowotwór, mówi: „Wyniki badań muszą być błędne, czuję się dobrze”. Jaki to mechanizm obronny?

1. AProjekcja
2. BZaprzeczanie
3. CSublimacja
4. DPrzemieszczenie

Which sequence describes the cycle of violence often seen in intimate partner abuse?

1. ATension-building, then a calm phase that lasts for the rest of the relationship
2. BReconciliation, acute violence, then tension-building with no further violence
3. CAcute violence, then permanent separation of the partners
4. DTension-building, acute violence, then reconciliation (the "honeymoon" phase)

Pacjent mówi: „Jestem do niczego. Nikogo nie obchodzę.” Która odpowiedź jest najbardziej terapeutyczna?

1. A„To nieprawda; wszyscy tutaj się o pana troszczą.”
2. B„Porozmawiajmy o czymś weselszym.”
3. C„Nie powinien pan tak mówić.”
4. D„Czuje pan, że nikogo pan nie obchodzi. Proszę powiedzieć mi więcej.”

A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?

1. ALaugh at the comments so he does not feel rejected
2. BRespond with similar comments to build rapport
3. CAvoid the patient for the rest of the shift
4. DCalmly say that the comments are not acceptable and redirect him

A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?

1. A"That sounds hard to believe."
2. B"You know that isn't true at all."
3. C"That's wonderful. When will you start?"
4. D"Why do you want to buy the hospital?"

A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?

1. AThat she needs an antipsychotic to control her behaviour
2. BA physical cause such as dental pain, an ear infection or constipation
3. CThat the behaviour is part of her disability and needs no assessment
4. DThat she is trying to manipulate the staff

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. AKeep a safe distance, call for help and avoid trying to take the chair alone
2. BGrab the chair from the patient quickly before he can use it
3. CShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge
4. DTurn her back and walk away slowly without saying anything