Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
AMaintenance of change
BPreparation
CPrecontemplation
DContemplation
2.Łatwy
In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?
AA hallucination
BAn illusion
CA delusion
DAn idea of reference
3.Łatwy
A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?
AAvoidant
BNarcissistic
CSchizoid
DAntisocial
4.Średni
A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?
AHypertensive crisis from tyramine
BLithium toxicity
CAgranulocytosis
DSerotonin syndrome
5.Średni
What is the main difference between disulfiram and naltrexone in alcohol dependence?
ABoth work in exactly the same way, so they are fully interchangeable
BDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
CNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
DDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
6.Średni
Which finding in a patient with anorexia nervosa is most concerning?
AA resting heart rate of 38/min
BConstipation for the past few days
CDry skin and brittle hair
DFeeling cold in a warm room
7.Trudny
Pacjentka, która przez rok codziennie przyjmowała duże dawki benzodiazepiny, mówi, że nagle odstawiła ją 2 dni temu. Jakie jest główne ryzyko?
AWypadanie włosów
BDrgawki abstynencyjne
CPrzyrost masy ciała
DHipoglikemia
8.Trudny
A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?
AHaloperidol does not work in older patients at all
BThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
CThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
DHaloperidol will make his hallucinations more frequent
Klucz odpowiedzi
1. C · Precontemplation
2. B · An illusion
3. A · Avoidant
4. D · Serotonin syndrome
5. B · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
6. A · A resting heart rate of 38/min
7. B · Drgawki abstynencyjne
8. B · These patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
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