Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
The SOLER approach is a guide to which aspect of communication?
ADocumenting patient records accurately
BAssessing the risk of suicide
CWriting nursing care plans
DNon-verbal attending behaviour
2.Łatwy
What is systematic desensitisation?
AA medicine that reduces anxiety within minutes of being taken
BSudden and prolonged exposure to the most feared situation at once
CTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
DGradual exposure to a feared situation, step by step, while using relaxation
3.Łatwy
Pacjent ma napad paniki. Co powinna zrobić pielęgniarka?
AZostawić pacjenta samego, aby się uspokoił
BPozostać z pacjentem, mówić spokojnie krótkimi, prostymi zdaniami i zapewnić ciche miejsce
CSzczegółowo wyjaśnić, jak rozwija się zaburzenie panikowe, aby pacjent zrozumiał napad
DZachęcić pacjenta do udziału w tłocznych zajęciach grupowych
4.Średni
A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?
A"The doctor is very experienced, so you should trust her."
B"Why do you think the doctor is wrong about you?"
C"Everyone here knows you well, so don't worry."
D"You feel that people here don't really know you?"
5.Średni
A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?
ASpend short, regular periods with the patient without forcing conversation
BTell the patient that talking is required to be discharged
CAsk a series of direct questions until he answers
DLeave the patient alone until he asks to talk
6.Średni
Which communication approach is best for a patient with moderate dementia?
AUse abstract language and long explanations so the patient feels respected
BAsk several questions together to save time
CSpeak loudly and quickly so that the patient stays alert
DUse short, simple sentences and give one instruction at a time
7.Trudny
A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?
ASelf-injury without suicidal intent never needs any assessment
BSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
CNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
DShe should be told that cutting is only attention-seeking behaviour
8.Trudny
A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?
AAssess her anxiety each time, offer other coping strategies and give it if indicated
BAlways give it as soon as she asks, without assessment
CRefuse to give it, because she might become dependent
DGive her a placebo tablet instead, without telling her, to see whether she really needs it
Klucz odpowiedzi
1. D · Non-verbal attending behaviour
2. D · Gradual exposure to a feared situation, step by step, while using relaxation
3. B · Pozostać z pacjentem, mówić spokojnie krótkimi, prostymi zdaniami i zapewnić ciche miejsce
4. D · "You feel that people here don't really know you?"
5. A · Spend short, regular periods with the patient without forcing conversation
6. D · Use short, simple sentences and give one instruction at a time
7. C · Non-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
8. A · Assess her anxiety each time, offer other coping strategies and give it if indicated
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