Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Which question is open-ended?

1. A"What has been on your mind today?"
2. B"Are you feeling sad today?"
3. C"Did you sleep well last night?"
4. D"Have you taken your medicine yet?"

What is lanugo, which may be seen in severe anorexia nervosa?

1. AFine, soft hair that grows on the body as it tries to conserve heat
2. BLoss of tooth enamel caused by repeated contact with stomach acid
3. CPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
4. DThickening of the skin on the knuckles caused by repeated vomiting

After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?

1. ADenial
2. BSublimation
3. CUndoing
4. DProjection

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. AAn MRI of the knee
2. BUrine drug screen only
3. CThyroid function tests
4. DSerum lithium level

A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?

1. ASocial anxiety disorder
2. BObsessive-compulsive disorder
3. CAgoraphobia
4. DGeneralised anxiety disorder

A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?

1. AWithin 5 minutes of the last drink
2. BAbout 6–24 hours after the last drink
3. CAbout 2–3 weeks after the last drink
4. DOnly after 7 days without alcohol

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHe should be told that his behaviour is unacceptable and that visits will be stopped
2. BHe does not care about his wife's death and is using it as an excuse to be rude
3. CHe has antisocial personality disorder that was not noticed before
4. DHis anger may be part of grief, displaced onto staff, so she should not take it personally

A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?

1. APlan a routine follow-up appointment with the health visitor in 2 weeks
2. BReassure her that all new mothers feel this way
3. CEncourage her to spend more time alone with the baby so that they can bond
4. DKeep the baby safe, never alone with her, and arrange urgent assessment