Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
How is lithium mainly removed from the body?
ABy the liver, in the bile
BThrough the lungs, in the breath
CThrough the skin, in sweat only
DBy the kidneys, in the urine
2.Łatwy
After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?
AProjection
BUndoing
CDenial
DSublimation
3.Łatwy
In a mental status examination, what does assessing orientation check?
AWhether the patient knows the time, the place and who they are
BWhether the patient can interpret proverbs and explain their meaning
CWhether the patient understands that they are ill and needs treatment for it
DWhether the patient's mood matches the facial expression and tone of voice
4.Średni
Which treatment is recommended first-line for chronic insomnia in adults?
AStaying in bed for longer each morning
BLong-term daily benzodiazepines
CCognitive behavioural therapy for insomnia (CBT-I)
DDrinking alcohol in the evening to fall asleep
5.Średni
According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?
AA patient who wants to find a new hobby
BA patient who feels lonely and wants more visitors
CA patient who wants to improve her self-esteem
DA patient who has not eaten or drunk anything for two days
6.Średni
What is the Abnormal Involuntary Movement Scale (AIMS) used for?
ATo screen for and monitor tardive dyskinesia
BTo measure the severity of alcohol withdrawal
CTo rate the severity of depression
DTo assess the risk of a patient becoming violent
7.Trudny
Pacjent, który przyjmuje klozapinę od roku, przestaje palić papierosy. Dlaczego ma to znaczenie?
AStężenie klozapiny może wzrosnąć, zwiększając ryzyko działań niepożądanych, takich jak sedacja i drgawki
BStężenie klozapiny gwałtownie spada, więc dawkę zwykle trzeba podwoić, aby zapobiec nawrotowi psychozy
CKlozapina całkowicie przestaje działać
DTo w ogóle nie ma znaczenia
8.Trudny
A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?
AAvoid the patient and let other staff do all of his care
BIgnore the feeling, because feelings do not affect nursing care
CRecognise this as countertransference and discuss it in clinical supervision
DTell the patient that he reminds her of her father
Klucz odpowiedzi
1. D · By the kidneys, in the urine
2. B · Undoing
3. A · Whether the patient knows the time, the place and who they are
4. C · Cognitive behavioural therapy for insomnia (CBT-I)
5. D · A patient who has not eaten or drunk anything for two days
6. A · To screen for and monitor tardive dyskinesia
7. A · Stężenie klozapiny może wzrosnąć, zwiększając ryzyko działań niepożądanych, takich jak sedacja i drgawki
8. C · Recognise this as countertransference and discuss it in clinical supervision
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