Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

What is a psychiatric advance directive (advance statement)?

1. AA note from the doctor that lists the patient's diagnoses
2. BA contract in which the patient promises the team to take every prescribed medicine for life
3. CA court order that allows a patient to be detained in hospital
4. DA document in which a person states their treatment wishes for a time when they may lack capacity

Which statement about nicotine replacement therapy is correct?

1. AIt contains tar and carbon monoxide in smaller amounts than cigarettes
2. BIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings
3. CIt must never be combined, for example a patch with gum
4. DIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them

How does binge-eating disorder differ from bulimia nervosa?

1. ABinges happen only once a year, so they are not a problem
2. BThe person always has a very low body weight and a fear of gaining weight
3. CThe person never feels a loss of control while eating
4. DThere are no regular compensatory behaviours, such as vomiting or laxative use

Co pacjent przyjmujący klozapinę powinien zostać nauczony zgłaszać natychmiast?

1. AZwiększone ślinienie się w nocy
2. BLekką senność po wieczornej dawce
3. CGorączkę, ból gardła lub inne objawy zakażenia
4. DChęć jedzenia więcej

Pacjentka z zaburzeniem osobowości typu borderline chwali jedną pielęgniarkę jako „jedyną, która mnie rozumie” i nazywa pozostałe bezużytecznymi. Jaka jest najlepsza reakcja zespołu?

1. APozwolić ulubionej pielęgniarce podejmować wszystkie decyzje dotyczące tej pacjentki
2. BUzgodnić spójne zasady i sposoby reagowania w całym zespole
3. CUnikać pacjentki
4. DPowiedzieć pacjentce, że pozostałe pielęgniarki też są bezużyteczne

Which preparation is usual before electroconvulsive therapy (ECT)?

1. ANo preparation, because the patient stays fully awake during ECT
2. BFasting for several hours, because a brief general anaesthetic is given
3. CEating a large meal to prevent low blood sugar during the seizure
4. DStopping all regular medicines for 2 weeks before the first treatment

After her house burned down, a woman developed delusions and disorganised speech. Ten days later the symptoms have gone completely and she is back to normal. Which diagnosis best fits?

1. ASchizophrenia
2. BDelusional disorder
3. CBrief psychotic disorder
4. DSchizophreniform disorder

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. AAssume it is normal ageing and take no action
2. BDiagnose late-onset schizophrenia and start an antipsychotic immediately
3. CLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
4. DAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests