Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. ACatastrophising
2. BAll-or-nothing thinking
3. CPersonalisation
4. DEmotional reasoning

A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?

1. AClang association
2. BWord salad
3. CThought blocking
4. DFlight of ideas

Which signs suggest acute cocaine intoxication?

1. ADilated pupils, a fast heart rate and high blood pressure
2. BRed eyes, increased appetite, dry mouth and slowed reactions
3. CSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
4. DPinpoint pupils, slow breathing and drowsiness

How should the nurse position herself when talking to an agitated patient?

1. AAt a safe distance, slightly to the side, with a clear exit available
2. BBetween the patient and the wall, so the patient can leave easily
3. CDirectly face to face, as close as possible, to show confidence
4. DBehind the patient and close to him, so that the patient does not feel threatened by eye contact

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AGive her a lot of extra attention for the rest of the day
2. BScold her for breaking the ward rules and remove all her privileges
3. CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
4. DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way

Which information is essential when documenting the use of physical restraint?

1. AThe reason for it, alternatives tried, start and end times, and the observations made
2. BThe nurse's personal opinion of the patient's character and attitude
3. CThe full names of the other patients who saw the incident
4. DOnly the time the restraint started and the name of the nurse in charge of the shift

A depressed patient says, "I don't enjoy anything any more, so there's no point in doing anything." Which intervention best reflects behavioural activation?

1. AEncourage him to rest in bed as much as possible until the medicine works
2. BPlan small, scheduled activities with him and review how he felt afterwards
3. CTell him that his thoughts are irrational and he should stop thinking that way
4. DWait until his mood improves before suggesting activities

Pacjent przyjmujący sertralinę otrzymał tramadol z powodu bólu. Po kilku godzinach jest pobudzony, poci się, ma drżenie i klonus w kostkach. Jaki jest najbardziej prawdopodobny problem?

1. AZłośliwy zespół neuroleptyczny
2. BZespół abstynencyjny po alkoholu
3. CZespół abstynencyjny po opioidach
4. DZespół serotoninowy