Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

What type of drug is methadone, used in the treatment of opioid dependence?

1. AA non-addictive stimulant that reduces opioid craving
2. BA benzodiazepine that reduces anxiety during withdrawal
3. CAn opioid antagonist that blocks all opioid effects
4. DA long-acting full opioid agonist

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

1. AElectroconvulsive therapy
2. BLithium carbonate
3. CBright light therapy
4. DSeclusion in a quiet room

According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?

1. ATermination phase
2. BPre-interaction phase
3. COrientation phase
4. DWorking phase

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
2. BThese are signs of an allergic reaction, so she should never take lithium again
3. CThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
4. DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored

How should a nurse screen a patient for intimate partner violence?

1. AOnly ask patients who have visible injuries
2. BAsk in private, without the partner or family present
3. CAsk the partner instead of the patient
4. DAsk in front of the partner to see how he reacts

Pacjent ze schizofrenią mówi: „Głosy mówią mi, że jestem zły.” Która odpowiedź jest najlepsza?

1. A„Głosy nie są prawdziwe, więc proszę je po prostu ignorować.”
2. B„Nie rozmawiajmy na razie o głosach. Proszę mi lepiej opowiedzieć o swojej rodzinie i planach.”
3. C„Nie słyszę tych głosów, ale widzę, że pana niepokoją. Co one panu mówią?”
4. D„Jeśli słyszy pan głosy, musi pan być bardzo chory.”

A patient with depression and a family history of bipolar disorder started an antidepressant 2 weeks ago. He now sleeps 3 hours a night, talks rapidly and is spending large amounts of money. What should the nurse suspect?

1. AThe expected improvement in mood from the antidepressant
2. BSerotonin syndrome caused by a high dose
3. CA switch into mania or hypomania triggered by the antidepressant
4. DNormal relief and extra energy now that his depression has finally lifted after the treatment

After a serious bus accident, the nurse is helping uninjured survivors. Which action reflects psychological first aid?

1. ATell survivors that they will definitely develop PTSD
2. BGive every survivor a benzodiazepine at the scene to prevent long-term psychological problems from developing
3. CProvide safety, comfort and practical help, and connect people with their families and support
4. DAsk each survivor to describe the accident in full detail straight away