Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?

1. ACatatonic excitement
2. BPsychomotor agitation
3. CAkathisia
4. DPsychomotor retardation

Which personality disorders belong to Cluster A, the "odd or eccentric" cluster?

1. AParanoid, schizoid and schizotypal
2. BAvoidant, dependent and obsessive-compulsive
3. CBorderline, avoidant and paranoid
4. DAntisocial, borderline, histrionic and narcissistic

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. ARationalisation
2. BSuppression
3. CIdentification
4. DProjection

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. ATry to talk the patient down by discussing his feelings in detail
2. BProvide a quiet, low-stimulation environment and keep staff and patient safe
3. CPut him in a busy area so that staff can watch him more easily
4. DEncourage him to walk around the ward and join in activities to help burn off the drug

A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?

1. AAvoid showering or changing clothes, and bring any clothing already removed in a paper bag
2. BWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination
3. CPut all clothing in a sealed plastic bag
4. DShower and wash her clothes before coming in, so she feels cleaner

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"Your mother will visit you later this afternoon."
2. B"Your mother died 30 years ago. You know that."
3. C"You're thinking about your mother. Tell me about her."
4. D"Please stop asking about her now and finish your lunch before it gets cold."

Pacjent w epizodzie maniakalnym przerywa innym pacjentom i robi się coraz głośniejszy w świetlicy. Jakie działanie pielęgniarskie jest najwłaściwsze?

1. ASpierać się z pacjentem o zachowanie na oczach wszystkich, aż zgodzi się przestać
2. BZachęcić do rywalizacyjnej gry grupowej, aby zużyć energię
3. CPodgłośnić muzykę, aby odwrócić uwagę grupy
4. DSpokojnie przeprowadzić pacjenta do cichszego miejsca z mniejszą ilością bodźców i wyznaczyć jasne, proste granice

A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?

1. AThiamine quickly lowers the blood alcohol level
2. BThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
3. CWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
4. DThiamine prevents all alcohol withdrawal seizures