Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Według Peplau, jakie są główne fazy relacji pielęgniarka–pacjent?

1. AZaprzeczanie, gniew i akceptacja
2. BPrzyjęcie, leczenie i wypis
3. COrientacja, praca i zakończenie
4. DOcena, diagnoza i ewaluacja

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. ADisplacement
2. BReaction formation
3. CRegression
4. DIntellectualisation

What is Russell's sign, seen in some patients with eating disorders?

1. ASwelling of the ankles and feet during the first days of refeeding in hospital
2. BYellowing of the skin from eating a lot of carrots
3. CCalluses or scars on the back of the hand from inducing vomiting
4. DFine, downy hair growing on the face and back

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt involves surgically implanting electrodes deep in the brain under anaesthetic
2. BIt needs a general anaesthetic and causes a seizure, like ECT
3. CIt is given as a daily tablet that contains tiny magnetic particles
4. DIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure

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

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

Which finding in a patient with anorexia nervosa is most concerning?

1. AConstipation for the past few days
2. BDry skin and brittle hair
3. CA resting heart rate of 38/min
4. DFeeling cold in a warm room

A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?

1. ADo the exercise only during a panic attack, never at other times
2. BTense all your muscles at once and keep them tight for 10 minutes
3. CTense each muscle group in turn for a few seconds, then let go and notice the difference
4. DHold your breath for as long as possible while lying completely still on the floor

A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?

1. ATell her that her memory is the problem and that the purse is not stolen
2. BStay calm, acknowledge her worry and offer to help her look for it
3. CInsist that nobody would steal from her
4. DIgnore the accusation and walk away until she forgets about it