Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ARinging in the ears
2. BDarkening of the skin on the hands and face
3. CA dry cough
4. DA painful erection that does not go away

What is lanugo, which may be seen in severe anorexia nervosa?

1. AThickening of the skin on the knuckles caused by repeated vomiting
2. BLoss of tooth enamel caused by repeated contact with stomach acid
3. CFine, soft hair that grows on the body as it tries to conserve heat
4. DPainful swelling of the salivary glands in front of the ears caused by repeated vomiting

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AHistrionic, dependent and schizoid
2. BAntisocial, borderline, histrionic and narcissistic
3. CParanoid, schizoid and schizotypal
4. DAvoidant, dependent and obsessive-compulsive

Which US legal case is associated with the duty of mental health professionals to protect people who are threatened by a patient?

1. ARoe v Wade
2. BMiranda v Arizona
3. CBrown v Board of Education
4. DTarasoff v Regents of the University of California

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. APossible boundary problems that she should discuss in supervision
2. BTransference by the patient towards the nurse, which is never the nurse's concern
3. CAn ideal therapeutic relationship
4. DThat the patient needs to be transferred to another unit

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. AValproate raises lamotrigine levels, which increases the risk of a serious rash
2. BLamotrigine will lower the valproate level until it has no effect
3. CThe two drugs together cause severe hair growth
4. DValproate makes lamotrigine work faster, so the dose must be increased quickly

A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?

1. ARespect the request, join in if comfortable, and offer to call the chaplain
2. BIgnore the request politely and change the subject to the procedure itself
3. CTry to persuade her to adopt the nurse's own beliefs
4. DTell her that religion has no place in hospital care

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

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