Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AWithin 3 months
2. BOnly after 1 year
3. COnly after 2 years
4. DWithin 3 days

Which medicine is commonly used to treat antipsychotic-induced akathisia?

1. APropranolol
2. BLithium
3. CHaloperidol
4. DBupropion

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

1. AEchopraxia
2. BEcholalia
3. CNeologism
4. DConfabulation

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
2. BIbuprofen will make the sertraline work faster
3. CThe combination is completely safe because they act on different systems
4. DIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. ALeave him alone in a dark room so that he can sleep it off
2. BShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
3. CArgue with him that what he sees is not real until he accepts it
4. DStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
2. BIt must be taken with grapefruit juice to be absorbed
3. CIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
4. DIt is safe in pregnancy and needs no special precautions

A patient with anorexia nervosa is admitted with a BMI of 14, dizziness and low potassium. Which goal is the priority in the first days?

1. AGaining insight into family relationships through therapy
2. BImproving body image through group discussions
3. CPlanning her return to university and her studies after discharge
4. DMedical stabilisation, with careful refeeding and correction of electrolytes

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AThat the tantrums are caused by a physical illness
2. BThat the child needs firm punishment for each tantrum instead
3. CThat the plan has failed and should be stopped immediately
4. DAn extinction burst, which is expected before the behaviour decreases