Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?

1. AGiving approval
2. BPresenting reality
3. CChanging the subject
4. DReflecting feelings

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. ASeizures with loss of consciousness during sleep
2. BA single motor tic that lasts for 2 weeks in an adult
3. CSeveral motor tics and at least one vocal tic for over a year, starting before 18
4. DInvoluntary swearing in almost every sentence as the main and only symptom

Which advice is part of good sleep hygiene?

1. AUse a phone or tablet in bed until you feel tired enough to sleep
2. BGet up at the same time each day and avoid caffeine later in the day
3. CHave a large meal and a strong coffee just before going to bed
4. DTake long naps in the afternoon to make up for any lost sleep at night

What is the key difference between factitious disorder and malingering?

1. AMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
2. BThere is no real difference between them, and both terms mean exactly the same thing
3. CIn factitious disorder, the symptoms are not produced on purpose at all
4. DIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward

The wife of a man with alcohol dependence organises her life around his drinking, hides it from others and neglects her own needs. What does this pattern suggest?

1. ACodependency
2. BLearned helplessness in the patient
3. CEnabling by the healthcare team
4. DDelirium tremens

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I'll avoid aged cheese and cured meats."
2. B"A sudden severe headache is a reason to get help straight away."
3. C"I'll tell any new doctor or dentist that I take an MAOI."
4. D"I can take any cold and flu remedy from the pharmacy."

During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?

1. AShare details about the nurse's family to build a friendship
2. BEnd the session because personal questions are not allowed
3. CIgnore the question completely and stay silent until the patient changes the subject
4. DAnswer briefly or decline politely, then return the focus to the patient

Pacjentka prosi pielęgniarkę o obietnicę, że nikomu nie powie, iż planuje odebrać sobie życie. Jaka reakcja jest najlepsza?

1. APowiedzieć jej, że się zastanowimy
2. BZmienić temat
3. CŻyczliwie wyjaśnić, że nie można zachować tego w tajemnicy, ponieważ jej bezpieczeństwo jest ważne, i że trzeba o tym powiedzieć zespołowi
4. DObiecać zachowanie tajemnicy, aby dalej rozmawiała i ufała, i nie zapisywać tego w dokumentacji ani nie informować zespołu