Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

What is separation anxiety disorder in a child?

1. AExcessive, developmentally inappropriate fear of being apart from attachment figures
2. BNormal crying when a baby meets a stranger for the first time
3. CA lack of interest in parents and other close carers, with no distress when they leave
4. DFear of social situations in which other children may laugh at them

What is systematic desensitisation?

1. ASudden and prolonged exposure to the most feared situation at once
2. BTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
3. CA medicine that reduces anxiety within minutes of being taken
4. DGradual exposure to a feared situation, step by step, while using relaxation

A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?

1. ASeeking clarification
2. BGiving recognition
3. COffering self
4. DReflecting feelings

Which physical finding is common in bulimia nervosa?

1. ASwelling of the salivary glands at the angle of the jaw
2. BVery low body weight with lanugo hair
3. CRaised blood pressure, a fast pulse and a high temperature
4. DA high serum potassium level

Which question is the best way to ask a patient about suicidal thoughts?

1. A"Are you having thoughts of killing yourself?"
2. B"You're not thinking of doing anything silly, are you?"
3. C"You wouldn't hurt yourself, would you?"
4. D"Things aren't that bad, are they?"

Which setting is best for an initial assessment interview with a new patient?

1. AThe corridor, so that the interview can be done quickly
2. BA quiet, private room with chairs at the same level and easy access to the door
3. CA small office with the nurse sitting behind a high desk between herself and the door
4. DThe busy day room, so that the patient feels part of the ward

A patient says, "My boss didn't say hello this morning, so she must think I'm useless." Which cognitive distortion is shown, and what is a helpful nursing response?

1. APersonalisation; advise the patient to ask for a new manager
2. BAll-or-nothing thinking; agree that the boss is being unfair
3. CCatastrophising; tell the patient that she will definitely not be fired
4. DMind reading; ask what other reasons there might be for the boss's behaviour

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. AWait until the next morning to see if she still feels the same once the argument has settled down
2. BTell the patient she is only seeking attention
3. CCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
4. DAgree with the colleague and take no action at all