Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
How does naltrexone help people with alcohol dependence?
AIt causes vomiting and flushing if the person drinks alcohol
BIt blocks opioid receptors and reduces the craving and pleasure from drinking
CIt replaces alcohol in the brain and prevents withdrawal seizures
DIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
2.Łatwy
A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?
ASeeking clarification
BReflecting
CDefending
DOffering self
3.Łatwy
To which drug class does donepezil belong?
ASelective serotonin reuptake inhibitors
BDopamine antagonists
CBenzodiazepines
DCholinesterase inhibitors
4.Średni
What is the CIWA-Ar scale used for?
AMeasuring the risk of falls in hospital
BMeasuring the depth of sedation in patients on a ventilator in intensive care
CScreening for dementia in older adults
DRating the severity of alcohol withdrawal to guide treatment
5.Średni
A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?
A"Of course not. Only crazy people would ask that."
B"You seem worried about what being here means. Can you tell me more?"
C"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
D"Yes, but you're in the right place now."
6.Średni
A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?
AAvoid all fluids so that there is less need to find a toilet
BStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
CExercise as hard as possible in the heat to burn off the extra weight
DDrink enough fluids and avoid overheating, because the medicine can affect temperature control
7.Trudny
Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?
ABrief experiences like this can be part of normal grief
BIt is a sign of schizophrenia that needs antipsychotic medicine
CIt means she has delirium and needs urgent tests
DIt proves she has severe major depression with psychosis
8.Trudny
Pacjentka stabilnie leczona litem mówi pielęgniarce, że zaczęła codziennie przyjmować ibuprofen z powodu bólu pleców. Co powinna zrobić pielęgniarka?
APowiedzieć jej, że to w porządku, ponieważ ibuprofen jest sprzedawany bez recepty i jest bezpieczny
BPoinformować lekarza zlecającego, ponieważ ibuprofen może podnieść stężenie litu do poziomu toksycznego
CPowiedzieć jej, aby przyjmowała też lek moczopędny na obrzęk
DPoradzić jej podwojenie dawki litu
Klucz odpowiedzi
1. B · It blocks opioid receptors and reduces the craving and pleasure from drinking
2. C · Defending
3. D · Cholinesterase inhibitors
4. D · Rating the severity of alcohol withdrawal to guide treatment
5. B · "You seem worried about what being here means. Can you tell me more?"
6. D · Drink enough fluids and avoid overheating, because the medicine can affect temperature control
7. A · Brief experiences like this can be part of normal grief
8. B · Poinformować lekarza zlecającego, ponieważ ibuprofen może podnieść stężenie litu do poziomu toksycznego
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