Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Mężczyzna, którego pociąga koleżanka z pracy, oskarża żonę o chęć zdrady. Jaki to mechanizm obronny?

1. ARegresja
2. BProjekcja
3. CRacjonalizacja
4. DTłumienie

A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?

1. A"Tell me what it has been like since she died."
2. B"Losing your wife must have been very hard for you."
3. C"Everybody feels that way sometimes. You'll get over it."
4. D"It sounds very lonely without her."

An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?

1. ASexual abuse
2. BFinancial abuse
3. CSelf-neglect by the father
4. DPhysical abuse

U pacjenta przyjmującego lamotryginę z powodu choroby afektywnej dwubiegunowej pojawia się nowa wysypka. Co powinna zrobić pielęgniarka?

1. APodwoić dawkę
2. BZignorować, ponieważ wysypki są zawsze nieszkodliwe
3. CNiezwłocznie to zgłosić, ponieważ może to być początek ciężkiej reakcji skórnej
4. DZastosować emolient i kontynuować lek jak zwykle, ponieważ wysypki są częste

Które objawy są typowe dla zespołu abstynencyjnego po opioidach?

1. AGłęboki sen i zaparcia
2. BZiewanie, wodnisty katar, rozszerzone źrenice, gęsia skórka i biegunka
3. CWysoka gorączka, sztywność typu „rury ołowianej” i splątanie w ciągu doby od ostatniej dawki
4. DZwężone jak łebek szpilki źrenice i wolne oddychanie

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
2. BThese are signs of an allergic reaction, so she should never take lithium again
3. CThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
4. DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored

A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?

1. ALock and unlock the door in front of him each time he asks
2. BAnswer once, then follow the agreed plan to limit repeated reassurance
3. CReassure him every time he asks, as often as he needs
4. DTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day

A patient who had been abstinent from alcohol for 6 months has started drinking again. He says, "I've failed completely. There's no point in trying." What is the most helpful response?

1. A"You'll have to start a completely new treatment from the beginning."
2. B"Relapse is common in recovery. Let's look at what led to it and what you learned."
3. C"Yes, I'm afraid you've wasted all of your hard work over the last six months."
4. D"You obviously weren't serious about stopping."