Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

A patient smiles and laughs while describing the death of her son. How is this affect described?

1. AEuthymic
2. BIncongruent
3. CRestricted but appropriate
4. DCongruent

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. AIntellectualisation
2. BRegression
3. CDisplacement
4. DReaction formation

In substance use, what does "tolerance" mean?

1. ABeing able to stop using the substance at any time without symptoms
2. BNeeding more of the substance to get the same effect
3. CFeeling a strong craving to use the substance after a long period without it
4. DHaving withdrawal symptoms when the substance is stopped suddenly

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 patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?

1. ASit on the edge of the bed for a moment and then stand up slowly
2. BDrink a cup of strong coffee before getting out of bed each morning
3. CStop the medicine if the dizziness happens more than once
4. DGet up quickly to get the blood flowing to the brain

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. AGeneralised anxiety disorder
2. BAdjustment disorder with anxiety
3. CPost-traumatic stress disorder
4. DAcute stress disorder

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. ADrink a small glass of wine or beer before bed to help him fall asleep
2. BDiscuss with the prescriber whether he can take it in the morning instead
3. CStop the fluoxetine at once and tell the prescriber at his next appointment
4. DTake a double dose at night to make him sleepy

Pacjent, który przyjmuje klozapinę od roku, przestaje palić papierosy. Dlaczego ma to znaczenie?

1. AStężenie klozapiny może wzrosnąć, zwiększając ryzyko działań niepożądanych, takich jak sedacja i drgawki
2. BStężenie klozapiny gwałtownie spada, więc dawkę zwykle trzeba podwoić, aby zapobiec nawrotowi psychozy
3. CKlozapina całkowicie przestaje działać
4. DTo w ogóle nie ma znaczenia