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. ADepersonalisation
2. BDerealisation
3. CA delusion of control
4. DA visual hallucination

Which pattern of decline is typical of vascular dementia?

1. AStepwise, with sudden worsening after each new vascular event
2. BVery gradual and steady from the start, without sudden changes
3. CComplete recovery within a few weeks
4. DRapid improvement after starting antipsychotic medicine

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. APersonalisation
2. BMind reading
3. CEmotional reasoning
4. DCatastrophising

What must a patient be told for consent to a new psychotropic medicine to be valid?

1. AOnly the benefits, so that the patient is not frightened by the side effects
2. BOnly the name of the medicine and the time of day it will be given
3. CNothing at all, because psychiatric patients cannot give consent
4. DThe expected benefits, the main risks and the alternatives, including no treatment

A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?

1. ANew or worsening suicidal thoughts or unusual changes in mood or behaviour
2. BA dangerous rise in blood pressure after eating foods that contain tyramine
3. CSevere weight gain in the first week
4. DSigns of physical dependence, because it is a controlled stimulant

A patient at risk of suicide is admitted. Which environmental check is most important?

1. APlace the patient in a room at the end of the corridor for privacy
2. BRemove items that could be used for self-harm, such as belts, cords and sharp objects
3. CMake sure the patient has a television in the room
4. DLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home

A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?

1. ANaltrexone causes broken bones to heal more slowly
2. BIt is not relevant, because naltrexone only affects the way the body responds to alcohol
3. CNaltrexone blocks opioid analgesics, so pain relief needs to be planned differently
4. DNaltrexone makes opioids much stronger, so smaller doses must be used

Pacjentka ze znanym zaburzeniem panikowym mówi, że ma ból w klatce piersiowej i trudności z oddychaniem. Co powinna zrobić pielęgniarka w pierwszej kolejności?

1. APowiedzieć jej, że to tylko kolejny napad paniki
2. BPoprosić ją, aby oddychała powoli do papierowej torebki, i zostawić ją samą, aż panika minie, jak zawsze w zaburzeniu panikowym
3. CWygłosić jej wykład o restrukturyzacji poznawczej
4. DZbadać ją fizykalnie, w tym ocenić parametry życiowe, i wykonać EKG zgodnie z procedurą, zanim założy, że to panika