Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Pacjent mówi: „Boję się jutrzejszej operacji”. Która odpowiedź pielęgniarki jest przykładem fałszywego uspokajania?

1. A„Proszę mi powiedzieć więcej o tym, jak się pan czuje.”
2. B„Co najbardziej pana martwi w związku z jutrem?”
3. C„Proszę się nie martwić, wszystko będzie dobrze.”
4. D„Brzmi to tak, jakby się pan bał.”

Which feature is typical of Korsakoff syndrome?

1. APinpoint pupils and slow breathing
2. BSevere memory loss with confabulation
3. CFever, rigidity and a high creatine kinase
4. DA flapping tremor of the hands caused by liver failure

What is anhedonia?

1. ARapid, pressured speech that is hard to interrupt
2. BA belief that one's body is diseased or rotting
3. CLoss of interest or pleasure in activities that were enjoyed before
4. DAn inability to fall asleep at night despite feeling very tired during the day

Pacjent mówi: „Jestem do niczego. Nikogo nie obchodzę.” Która odpowiedź jest najbardziej terapeutyczna?

1. A„To nieprawda; wszyscy tutaj się o pana troszczą.”
2. B„Nie powinien pan tak mówić.”
3. C„Porozmawiajmy o czymś weselszym.”
4. D„Czuje pan, że nikogo pan nie obchodzi. Proszę powiedzieć mi więcej.”

Which risk applies when antipsychotics are used in older people with dementia?

1. AA guaranteed cure of the dementia
2. BA lower risk of falls than with no medicine at all
3. CImproved memory within a few days
4. DAn increased risk of stroke and death

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

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

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. ADiagnose late-onset schizophrenia and start an antipsychotic immediately
2. BAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
3. CLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
4. DAssume it is normal ageing and take no action

A patient with depression answers every question with one or two words and looks at the floor. Which approach is most helpful?

1. AAsk several open questions in quick succession to keep the conversation going
2. BEncourage him to cheer up and think about the good things in his life
3. CEnd the conversation quickly, because the patient clearly does not want to talk
4. DUse simple statements, allow extra time for answers and stay with the patient even in silence