Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar II is always more severe than bipolar I
2. BBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
3. CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
4. DBipolar I involves only depression; bipolar II involves only mania

In Freud's theory of personality, what is the role of the ego?

1. ATo store all forgotten memories from childhood
2. BTo act as the moral conscience that creates guilt
3. CTo balance the demands of the id, the superego and reality
4. DTo seek immediate pleasure regardless of the consequences

Which statement about self-disclosure by the nurse is correct?

1. AIt should be brief, rare and used only to help the patient
2. BIt is helpful when the nurse shares personal problems in detail
3. CIt should be used often to build friendship with the patient
4. DIt is never allowed in any situation

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ARecord it immediately as a command hallucination
2. BExplore the experience in her cultural context before calling it a symptom
3. CAvoid asking about it, because culture is not relevant to mental health
4. DTell her that her beliefs are not real

A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?

1. AOnly after 7 days without alcohol
2. BAbout 2–3 weeks after the last drink
3. CAbout 6–24 hours after the last drink
4. DWithin 5 minutes of the last drink

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"You sound very angry. Tell me what has happened."
2. B"That's not true. I've helped you all day."
3. C"If you speak to me like that, I'm leaving."
4. D"You shouldn't talk to people like that."

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AThat the child needs firm punishment for each tantrum instead
2. BAn extinction burst, which is expected before the behaviour decreases
3. CThat the plan has failed and should be stopped immediately
4. DThat the tantrums are caused by a physical illness

A patient in acute mania has slept for 2 hours in 3 nights, is losing weight and is pacing constantly. Which nursing concern is the priority?

1. ALow self-esteem
2. BLack of knowledge about the illness
3. CRisk of physical exhaustion and injury
4. DDisturbed relationships with her family