Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Czym zwykle różni się majaczenie od otępienia?

1. ATo ten sam stan
2. BOtępienie zawsze zaczyna się nagle
3. CMajaczenie rozwija się powoli przez lata; otępienie zaczyna się nagle i zmienia się z godziny na godzinę
4. DMajaczenie zaczyna się nagle i ma zmienny przebieg; otępienie rozwija się stopniowo przez miesiące lub lata

Which feature is central to antisocial personality disorder?

1. AA strong wish for close relationships combined with fear of rejection
2. BIntense fear of being abandoned by people close to them
3. CA pattern of disregard for the rights of others, often without remorse
4. DOdd beliefs, magical thinking, eccentric dress and unusual perceptual experiences

What is hoarding disorder?

1. APersistent difficulty throwing things away, so that clutter fills the living space
2. BCollecting a few favourite objects as a hobby that the person enjoys
3. CFear of leaving the home because of crowds and public transport
4. DRepeated checking that all the doors and windows are locked before leaving the house each day

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. AAvoid asking about it, because culture is not relevant to mental health
2. BRecord it immediately as a command hallucination
3. CExplore the experience in her cultural context before calling it a symptom
4. DTell her that her beliefs are not real

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"Things aren't that bad, are they?"
4. D"You wouldn't hurt yourself, would you?"

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. AAvoid all fluids so that there is less need to find a toilet
2. BExercise as hard as possible in the heat to burn off the extra weight
3. CStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
4. DDrink enough fluids and avoid overheating, because the medicine can affect temperature control

On the day after hip surgery, a 58-year-old patient has a new tremor, sweating, anxiety and a fast pulse. He did not report any alcohol use on admission. What should the nurse do?

1. AAsk him and his family about his alcohol use and the time of his last drink, and report the findings
2. BAssume he has post-operative pain and give extra analgesia only
3. CWait until the next day to see if the symptoms go away on their own once his pain is better controlled
4. DTell him that his symptoms are normal after hip surgery

A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?

1. AHelp him set a quit date for next week
2. BDiscuss detailed strategies to prevent a relapse after he has stopped drinking
3. CRefer him straight to a residential detox programme
4. DOffer non-judgemental information and explore how drinking affects his life