Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Which group of features is typical of dementia with Lewy bodies?

1. AFluctuating alertness, detailed visual hallucinations and parkinsonism
2. BSudden step-by-step decline after small strokes
3. CMemory loss only, with no other symptoms or changes in alertness for many years
4. DEarly personality change and loss of social inhibition

What is the CAGE questionnaire used for?

1. ARating the severity of a patient's depression
2. BScreening for problem drinking
3. CAssessing cognitive function in older adults
4. DMeasuring the severity of opioid withdrawal

In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?

1. A2 months
2. B6 weeks
3. C2 years
4. D2 weeks

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. AHide the medicine in his drink without telling him
2. BGive an intramuscular injection at once without offering any choice
3. CPlace him in seclusion and then decide about medicine later
4. DOffer the oral medicine first, before considering an injection

A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?

1. APersecutory
2. BNihilistic
3. CGrandiose
4. DErotomanic

How should a patient take sublingual buprenorphine-naloxone tablets?

1. ACrush the tablet and mix it with a spoonful of soft food such as yoghurt
2. BChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
3. CSwallow the tablet whole with a large glass of water
4. DLet the tablet dissolve completely under the tongue without chewing or swallowing it

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

Which patient has the highest risk of suicide?

1. AA 72-year-old widowed man with alcohol dependence who has a gun at home and a plan
2. BA 20-year-old student with exam stress who has no thoughts of suicide and good friends
3. CA 30-year-old woman with mild anxiety who has a supportive family
4. DA 45-year-old man with well-controlled hypertension who works full time