Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

What is trichotillomania?

1. AHair loss caused by lithium treatment
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. DA fear of hair, combs and hairdressers

A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?

1. AApraxia
2. BAphasia
3. CAtaxia
4. DAgnosia

What is the difference between empathy and sympathy?

1. AEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
2. BEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
3. CEmpathy and sympathy mean exactly the same thing in nursing
4. DEmpathy is used only with children and teenagers; sympathy is used only with adult patients

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"If you speak to me like that, I'm leaving."
2. B"That's not true. I've helped you all day."
3. C"You sound very angry. Tell me what has happened."
4. D"You shouldn't talk to people like that."

A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?

1. ABulimia; severe hypokalaemia from vomiting
2. BAnorexia; dangerously low body weight and bradycardia
3. CPica; poisoning such as lead toxicity, or bowel obstruction
4. DARFID; the risk of choking on food

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"What does the man in the corner look like?"
2. B"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
3. C"The man will go away if you ignore him."
4. D"I don't see anyone in the corner, but I know it seems real to you."

A patient with depression and a family history of bipolar disorder started an antidepressant 2 weeks ago. He now sleeps 3 hours a night, talks rapidly and is spending large amounts of money. What should the nurse suspect?

1. ANormal relief and extra energy now that his depression has finally lifted after the treatment
2. BThe expected improvement in mood from the antidepressant
3. CA switch into mania or hypomania triggered by the antidepressant
4. DSerotonin syndrome caused by a high dose

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. AGrab the chair from the patient quickly before he can use it
2. BKeep a safe distance, call for help and avoid trying to take the chair alone
3. CShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge
4. DTurn her back and walk away slowly without saying anything