Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ADarkening of the skin on the hands and face
2. BA painful erection that does not go away
3. CA dry cough
4. DRinging in the ears

What is countertransference?

1. AThe transfer of a patient's care to another nurse at the end of a shift
2. BThe patient's feelings towards the nurse, based on earlier relationships
3. CThe patient repeating the nurse's words and gestures without understanding their meaning
4. DThe nurse's emotional reaction to a patient, based on the nurse's own past experiences

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. ABlunted
2. BLabile
3. CFlat
4. DCongruent

What is the Abnormal Involuntary Movement Scale (AIMS) used for?

1. ATo assess the risk of a patient becoming violent
2. BTo measure the severity of alcohol withdrawal
3. CTo screen for and monitor tardive dyskinesia
4. DTo rate the severity of depression

A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?

1. AA high haemoglobin
2. BA high serum potassium
3. CA low serum sodium
4. DA low serum cholesterol

What should a patient starting zolpidem for insomnia be taught to report?

1. ASleeping through the night without waking up
2. BFeeling sleepy about 30 minutes after taking it at bedtime
3. CFeeling slightly more rested and alert the next morning than before starting the medicine
4. DDoing things while not fully awake, such as sleepwalking or driving, with no memory of it

An 80-year-old patient taking a benzodiazepine for sleep fell at night on the way to the toilet. After checking her for injury, what is the most appropriate next step?

1. AReport the fall, put falls precautions in place and ask for a review of her sleep medicine
2. BUse bed rails and a restraint every night to keep her safely in bed until the morning
3. CDo nothing more, because falls are normal in older people
4. DGive an extra dose so that she sleeps through the night without getting up

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AReduce monitoring, because a higher score on this scale means that his withdrawal is improving
2. BWait for the next routine score in four hours before deciding
3. CEncourage him to drink a large glass of wine to settle the symptoms
4. DGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber