Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Which feature is typical of Korsakoff syndrome?

1. ASevere memory loss with confabulation
2. BA flapping tremor of the hands caused by liver failure
3. CFever, rigidity and a high creatine kinase
4. DPinpoint pupils and slow breathing

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. CRepeated checking that all the doors and windows are locked before leaving the house each day
4. DFear of leaving the home because of crowds and public transport

Which signs suggest acute cocaine intoxication?

1. ARed eyes, increased appetite, dry mouth and slowed reactions
2. BDilated pupils, a fast heart rate and high blood pressure
3. CPinpoint pupils, slow breathing and drowsiness
4. DSlurred speech, an unsteady gait and a strong smell of alcohol on the breath

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. ASerum lithium level
2. BAn MRI of the knee
3. CThyroid function tests
4. DUrine drug screen only

Which pattern suggests premenstrual dysphoric disorder?

1. AMarked mood symptoms in the week before menstruation that improve within a few days after it starts
2. BLow mood throughout the whole month that is not linked to the menstrual cycle
3. CMild bloating the day before a period, without any mood changes
4. DMood symptoms that begin only after the menopause and last for several years

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. ATell him that it means the clozapine dose is too low and needs to be increased
2. BStop the clozapine immediately, because this is a sign of agranulocytosis
3. CExplain that it is a sign of an allergic reaction to the medicine
4. DRecognise it as a common side effect, report it and suggest a towel on the pillow

Pacjent przyjęty dobrowolnie, bez bezpośredniego ryzyka wyrządzenia krzywdy, chce opuścić oddział wbrew zaleceniom lekarskim. Jakie jest właściwe ogólne podejście?

1. AZamknąć drzwi na klucz, aby pacjent nie mógł wyjść
2. BWyjaśnić ryzyko, poinformować zespół, udokumentować rozmowę i uszanować prawo pacjenta do wypisu zgodnie z prawem i procedurami
3. CPowiedzieć pacjentowi, że personel go unieruchomi i sprowadzi z powrotem na oddział, jeśli spróbuje wyjść bez zgody lekarza
4. DUkryć rzeczy osobiste pacjenta

Two days after surgery, a 79-year-old woman is quiet and drowsy, stares into space and gives muddled answers that vary through the day. Her daughter says she was sharp before. What is most likely?

1. AHypoactive delirium
2. BDepression after surgery
3. CAdvanced dementia
4. DNormal tiredness after anaesthesia