Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. AA delusion of control
2. BDerealisation
3. CDepersonalisation
4. DA visual hallucination

What is "enabling" in the context of substance use?

1. AHelping the person to attend a treatment programme on time
2. BSetting firm limits on what behaviour the family will accept in the home from now on
3. CBehaviour by others that protects the person from the consequences of their use
4. DGiving the person information about the effects of the substance

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. AFlat
2. BCongruent
3. CLabile
4. DBlunted

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIt has no effects at all in people over 80, so it will not help her sleep
2. BIt is a strong opioid that causes severe dependence
3. CIt raises blood pressure to dangerous levels in older adults
4. DIts anticholinergic effects can cause confusion, urine retention and falls

Co pacjent przyjmujący klozapinę powinien zostać nauczony zgłaszać natychmiast?

1. AZwiększone ślinienie się w nocy
2. BChęć jedzenia więcej
3. CLekką senność po wieczornej dawce
4. DGorączkę, ból gardła lub inne objawy zakażenia

A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?

1. AIntrusion symptoms
2. BChanges in arousal and reactivity
3. CDissociative amnesia for the trauma
4. DAvoidance

A patient tells the nurse, "You're the only one I can talk to. You're much better than the other nurses." What is the most appropriate response?

1. A"Thank you. I'll make sure I'm always the one assigned to you from now on."
2. B"You shouldn't compare nurses. That's not fair to them, and it's rude."
3. C"I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
4. D"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."

Stężenie litu u pacjenta wynosi 1,8 mmol/L. Mówi, że czuje się dobrze, poza lekkimi nudnościami. Co powinna zrobić pielęgniarka?

1. AWstrzymać następną dawkę i niezwłocznie poinformować lekarza zlecającego
2. BZwiększyć dawkę, aby zapobiec nawrotowi
3. CPodać następną dawkę, skoro czuje się dobrze
4. DPowtórzyć badanie za miesiąc