Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. ACatastrophising
2. BMind reading
3. CPersonalisation
4. DEmotional reasoning

How does binge-eating disorder differ from bulimia nervosa?

1. AThere are no regular compensatory behaviours, such as vomiting or laxative use
2. BBinges happen only once a year, so they are not a problem
3. CThe person always has a very low body weight and a fear of gaining weight
4. DThe person never feels a loss of control while eating

In behaviour therapy, what is positive reinforcement?

1. AIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
2. BAdding a reward after a behaviour so that the behaviour becomes more likely
3. CAdding an unpleasant consequence so that a behaviour stops
4. DRemoving a reward so that a behaviour becomes less likely

Which side effects are most common with quetiapine?

1. AHigh prolactin with breast enlargement in almost every patient
2. BSedation, dizziness when standing and weight gain
3. CA cough and swollen ankles
4. DInsomnia and severe weight loss

A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?

1. ABulimia; severe hypokalaemia from vomiting
2. BARFID; the risk of choking on food
3. CPica; poisoning such as lead toxicity, or bowel obstruction
4. DAnorexia; dangerously low body weight and bradycardia

A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?

1. AAvoidance
2. BDissociative amnesia for the trauma
3. CChanges in arousal and reactivity
4. DIntrusion symptoms

A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?

1. AGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
2. BSay nothing, because it is not her responsibility
3. CWait until the end of the shift, then talk privately with the colleague
4. DReport the concern immediately to the nurse in charge, following policy, to protect patients

A woman who takes lithium for bipolar disorder tells the nurse she would like to become pregnant. What is the best response?

1. A"Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
2. B"Lithium is completely safe in pregnancy, so there is no need to change anything at all."
3. C"Stop the lithium today so that it is out of your body before you get pregnant."
4. D"You'll need to choose between treating your bipolar disorder and having a baby."