Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

In behaviour therapy, what is negative reinforcement?

1. APunishing a behaviour with an unpleasant consequence so that it becomes less likely
2. BTaking away something unpleasant after a behaviour, which makes it more likely
3. CAdding a reward after a behaviour so that it happens more often
4. DIgnoring a behaviour so that it slowly disappears over time

What is a psychiatric advance directive (advance statement)?

1. AA contract in which the patient promises the team to take every prescribed medicine for life
2. BA court order that allows a patient to be detained in hospital
3. CA document in which a person states their treatment wishes for a time when they may lack capacity
4. DA note from the doctor that lists the patient's diagnoses

Który z poniższych objawów jest objawem negatywnym schizofrenii?

1. AUrojenia prześladowcze
2. BZdezorganizowane zachowanie
3. CAbulia (brak motywacji)
4. DSłyszenie głosów

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AHer calmness shows that the assault did not happen
2. BShe is probably exaggerating the seriousness of what happened, because she does not seem upset
3. CShe is not distressed and does not need any support
4. DA controlled response is a common reaction in the acute phase after assault

Which information is essential when documenting the use of physical restraint?

1. AOnly the time the restraint started and the name of the nurse in charge of the shift
2. BThe reason for it, alternatives tried, start and end times, and the observations made
3. CThe nurse's personal opinion of the patient's character and attitude
4. DThe full names of the other patients who saw the incident

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. ALet the patient eat alone in her room for privacy
2. BAllow the patient to choose to skip meals if she says she feels full or unwell
3. CTalk with the patient at length about calories during the meal
4. DSupervise the meal and observe the patient for an agreed period afterwards

A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?

1. AGive the patient his own prescribed medicine as well, to stay on schedule
2. BAssess the patient, including his vital signs and level of sedation
3. CFill in an incident report before checking the patient
4. DSay nothing, because one dose will not cause harm

Pacjentka przyjmująca lit wymiotuje i ma biegunkę od 2 dni. Ma teraz grubofaliste drżenie i jest splątana. Co powinna zrobić pielęgniarka w pierwszej kolejności?

1. APodać następną dawkę z dodatkową ilością wody
2. BZachęcić do diety niskosodowej
3. CWstrzymać następną dawkę i pilnie powiadomić lekarza zlecającego, aby można było oznaczyć stężenie litu
4. DPodać lek przeciwbiegunkowy i kontynuować lit jak zwykle, z dodatkową solą w diecie