Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Asked how she slept, a patient describes her evening meal, a television programme and a phone call from her sister in great detail, and finally says that she slept badly. What is this called?

1. ACircumstantiality
2. BPerseveration
3. CTangentiality
4. DThought blocking

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ADarkening of the skin on the hands and face
2. BA painful erection that does not go away
3. CRinging in the ears
4. DA dry cough

Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?

1. ASummarising
2. BRestating
3. CFocusing
4. DExploring

A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?

1. A"Why do you want to buy the hospital?"
2. B"That's wonderful. When will you start?"
3. C"You know that isn't true at all."
4. D"That sounds hard to believe."

Which nurse statement is most consistent with motivational interviewing?

1. A"If you don't stop drinking now, you'll die."
2. B"What would be different for you if you drank less?"
3. C"I've decided that you need to stop drinking completely."
4. D"You're an alcoholic, and you need to admit it."

An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?

1. AA sudden onset of Alzheimer's disease
2. BA first episode of schizophrenia caused by moving into the home
3. CAn infection such as a urinary tract infection, or a medicine side effect
4. DThe normal ageing process

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. AReassure him that young people do not have heart problems
2. BTreat it as a possible heart attack, with an urgent ECG and medical review
3. CGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
4. DLet him rest, because the pain will pass when the drug wears off

Pacjentka zdolna do świadomej zgody podpisała zgodę na serię ECT. Po dwóch sesjach mówi, że chce przerwać. Co jest prawidłowe?

1. AMoże przerwać tylko wtedy, gdy rodzina się zgodzi
2. BJej podpisana zgoda staje się wiążąca po pierwszej sesji, więc uzgodnioną serię trzeba teraz dokończyć
3. CMusi dokończyć serię, skoro podpisała zgodę
4. DMoże w każdej chwili wycofać zgodę, a jej decyzję należy uszanować i zgłosić zespołowi