Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

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

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

In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?

1. AContemplation
2. BMaintenance of change
3. CPreparation
4. DPrecontemplation

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

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

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

1. AChange his daily routine often, to help him get used to change
2. BPut him in a busy bay with lots of noise and activity to keep him stimulated
3. CKeep to his usual routines where possible and prepare him for any changes
4. DAvoid his parents' advice, because staff know best how to care for him

A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?

1. APersecutory
2. BGrandiose
3. CNihilistic
4. DErotomanic

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt involves surgically implanting electrodes deep in the brain under anaesthetic
2. BIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
3. CIt is given as a daily tablet that contains tiny magnetic particles
4. DIt needs a general anaesthetic and causes a seizure, like ECT

Dwa tygodnie po rozpoczęciu SSRI pacjent mówi: „To nie działa. Przestaję to brać.” Jaka reakcja jest najlepsza?

1. AZgodzić się, że powinien natychmiast go odstawić, ponieważ lek przeciwdepresyjny, który nie pomógł po dwóch tygodniach, raczej nigdy nie zadziała
2. BWyjaśnić, że często potrzeba kilku tygodni, aby lek zadziałał w pełni, zachęcić go do kontynuacji i monitorować jego nastrój i bezpieczeństwo
3. CPowiedzieć mu, że leki przeciwdepresyjne nigdy nie działają
4. DPowiedzieć mu, aby podwoił dawkę

On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?

1. ACarrying out the full admission suicide risk assessment of a newly admitted patient
2. BTeaching a patient about the side effects of lithium
3. CAccompanying a stable patient to the dining room and recording his food intake
4. DEvaluating whether a PRN medicine given an hour ago has worked