Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Czym jest dyskinezja późna?

1. AMimowolne ruchy, często ust, języka i twarzy, po długotrwałym stosowaniu leków przeciwpsychotycznych
2. BWysoka gorączka ze sztywnością mięśni
3. CNagły, bolesny skurcz mięśni szyi, języka lub oczu w ciągu godzin lub dni od pierwszej dawki
4. DNiepokój ruchowy i niemożność usiedzenia w miejscu w pierwszych dniach

What is trichotillomania?

1. AA fear of hair, combs and hairdressers
2. BA fungal infection of the scalp that is common in people with OCD
3. CRepeatedly pulling out one's own hair, leading to hair loss
4. DHair loss caused by lithium treatment

What is hoarding disorder?

1. ACollecting a few favourite objects as a hobby that the person enjoys
2. BFear of leaving the home because of crowds and public transport
3. CPersistent difficulty throwing things away, so that clutter fills the living space
4. DRepeated checking that all the doors and windows are locked before leaving the house each day

Which activity is most suitable for a patient in an acute manic episode?

1. AA long group discussion in the day room
2. BA walk with a staff member
3. CA competitive team game of volleyball
4. DA complicated board game such as chess with other patients

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIt has no effects at all in people over 80, so it will not help her sleep
2. BIts anticholinergic effects can cause confusion, urine retention and falls
3. CIt raises blood pressure to dangerous levels in older adults
4. DIt is a strong opioid that causes severe dependence

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. AAvoid all fluids so that there is less need to find a toilet
2. BDrink enough fluids and avoid overheating, because the medicine can affect temperature control
3. CStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
4. DExercise as hard as possible in the heat to burn off the extra weight

Który objaw najlepiej pomaga odróżnić zespół serotoninowy od złośliwego zespołu neuroleptycznego?

1. AWygórowane odruchy i klonus przy szybkim początku sugerują zespół serotoninowy
2. BGorączka występuje tylko w zespole serotoninowym
3. CPocenie się występuje tylko w złośliwym zespole neuroleptycznym
4. DSplątanie występuje tylko w złośliwym zespole neuroleptycznym, nigdy w zespole serotoninowym

The daughter of a man with moderate dementia says she is exhausted, is not sleeping and feels guilty for getting angry with him. What is the most helpful nursing response?

1. AAdvise her to take on more responsibility for his care so that she feels less guilty
2. BTell her that good daughters do not get angry with their parents
3. CSuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
4. DAcknowledge her strain and discuss support such as respite care and carers' groups