Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AInvestigate the family alone at home before reporting
2. BReport the concern according to child protection procedures
3. CConfront the parents and ask them directly whether they hurt the child
4. DWait until there is clear proof before telling anyone

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAmnesia
2. BApraxia
3. CAkathisia
4. DAphasia

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

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

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. ATreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
2. BGive her a lot of extra attention for the rest of the day
3. CScold her for breaking the ward rules and remove all her privileges
4. DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"You sound very angry. Tell me what has happened."
2. B"That's not true. I've helped you all day."
3. C"You shouldn't talk to people like that."
4. D"If you speak to me like that, I'm leaving."

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

1. AErotomanic
2. BGrandiose
3. CSomatic
4. DNihilistic

Pacjentka przyjmująca lit wymiotuje i ma biegunkę od 2 dni. Ma teraz grubofaliste drżenie i jest splątana. Co powinna zrobić pielęgniarka w pierwszej kolejności?

1. APodać lek przeciwbiegunkowy i kontynuować lit jak zwykle, z dodatkową solą w diecie
2. BPodać następną dawkę z dodatkową ilością wody
3. CZachęcić do diety niskosodowej
4. DWstrzymać następną dawkę i pilnie powiadomić lekarza zlecającego, aby można było oznaczyć stężenie litu

Pacjent przyjmujący sertralinę otrzymał tramadol z powodu bólu. Po kilku godzinach jest pobudzony, poci się, ma drżenie i klonus w kostkach. Jaki jest najbardziej prawdopodobny problem?

1. AZespół abstynencyjny po opioidach
2. BZespół abstynencyjny po alkoholu
3. CZespół serotoninowy
4. DZłośliwy zespół neuroleptyczny