Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

What type of drug is methadone, used in the treatment of opioid dependence?

1. AA long-acting full opioid agonist
2. BAn opioid antagonist that blocks all opioid effects
3. CA benzodiazepine that reduces anxiety during withdrawal
4. DA non-addictive stimulant that reduces opioid craving

Pacjent ma napad paniki. Co powinna zrobić pielęgniarka?

1. AZachęcić pacjenta do udziału w tłocznych zajęciach grupowych
2. BZostawić pacjenta samego, aby się uspokoił
3. CPozostać z pacjentem, mówić spokojnie krótkimi, prostymi zdaniami i zapewnić ciche miejsce
4. DSzczegółowo wyjaśnić, jak rozwija się zaburzenie panikowe, aby pacjent zrozumiał napad

Mężczyzna, którego pociąga koleżanka z pracy, oskarża żonę o chęć zdrady. Jaki to mechanizm obronny?

1. AProjekcja
2. BRegresja
3. CRacjonalizacja
4. DTłumienie

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
2. BState the rule and the consequence clearly, and make sure all staff apply it consistently
3. CChange the rules for this patient to avoid conflict
4. DLet each nurse decide on the day whether to apply the rules

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ATell her that her beliefs are not real
2. BExplore the experience in her cultural context before calling it a symptom
3. CRecord it immediately as a command hallucination
4. DAvoid asking about it, because culture is not relevant to mental health

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. ALeave him alone in a dark room so that he can sleep it off
2. BShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
3. CArgue with him that what he sees is not real until he accepts it
4. DStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass

Pacjent przyjmujący olanzapinę przybrał 8 kg w ciągu 3 miesięcy i zgłasza pragnienie oraz częste oddawanie moczu. Co powinna zrobić pielęgniarka?

1. ANatychmiast odstawić olanzapinę bez informowania lekarza zlecającego
2. BUspokoić go, że nie ma to związku z lekiem
3. CPoradzić mu, aby pił mniej wody
4. DZorganizować oznaczenie glikemii i poinformować lekarza zlecającego

A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?

1. ASkip bathing for the rest of his stay
2. BStop, try again later or in a different way, and explain each step calmly
3. CAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative
4. DGet more staff to hold him so the bath can be finished quickly