Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Dlaczego pielęgniarka może zastosować krótką ciszę w rozmowie z pacjentem w stanie cierpienia?

1. ASygnalizuje, że rozmowa dobiegła końca
2. BDaje pacjentowi czas na zastanowienie się i kontynuowanie we własnym tempie
3. CPokazuje pacjentowi, że pielęgniarka się nie zgadza
4. DOznacza, że pielęgniarka może na chwilę przestać aktywnie słuchać i zaplanować kolejne pytanie

In DSM-5, gambling disorder is grouped with which category of disorders?

1. ASubstance-related and addictive disorders
2. BPersonality disorders in Cluster B
3. CAnxiety disorders and phobias
4. DNeurocognitive disorders such as dementia

According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?

1. AAt least 2 weeks
2. BAt least 2 years
3. CAt least 6 months
4. DAt least 2 days

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

1. AThe combination will cause high blood pressure
2. BIncreased sedation and respiratory depression
3. CThere is no interaction between these two drugs
4. DThe diazepam will block the pain-relieving effect of oxycodone

How does conduct disorder differ from oppositional defiant disorder?

1. AConduct disorder involves violating others' rights, such as cruelty, theft or fire setting
2. BThe two disorders are exactly the same and differ only in the age at which they are diagnosed
3. COppositional defiant disorder includes serious physical aggression towards animals
4. DConduct disorder involves only arguing with adults and losing one's temper

A woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?

1. AAcute stress disorder
2. BAdjustment disorder with anxiety
3. CPost-traumatic stress disorder
4. DGeneralised anxiety disorder

In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?

1. AShe is being rude to the nurse on purpose and should be warned
2. BThe nurse has made a serious mistake and should hand her care to a colleague immediately
3. CShe may be showing resistance as painful topics come closer, which the nurse can gently explore
4. DShe no longer needs any help, so the sessions should end at once

Pięć dni po rozpoczęciu haloperidolu pacjent ma temperaturę 40 °C, sztywne kończyny, splątanie, wahania ciśnienia tętniczego i poci się. Co powinna zrobić pielęgniarka w pierwszej kolejności?

1. AZachęcić go do ćwiczeń, aby zmniejszyć sztywność
2. BPodać paracetamol na gorączkę i ponownie sprawdzić parametry za 4 godziny
3. CPodać kolejną dawkę haloperidolu, aby go uspokoić
4. DWstrzymać lek przeciwpsychotyczny i wezwać pilną pomoc lekarską