Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Pacjent mówi: „Boję się jutrzejszej operacji”. Która odpowiedź pielęgniarki jest przykładem fałszywego uspokajania?

1. A„Co najbardziej pana martwi w związku z jutrem?”
2. B„Brzmi to tak, jakby się pan bał.”
3. C„Proszę mi powiedzieć więcej o tym, jak się pan czuje.”
4. D„Proszę się nie martwić, wszystko będzie dobrze.”

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. AEmotional reasoning
2. BAll-or-nothing thinking
3. CCatastrophising
4. DPersonalisation

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. AAlzheimer's disease
2. BBorderline personality disorder
3. CAttention-deficit hyperactivity disorder
4. DSchizophrenia

Which effects of methadone should the nurse monitor for?

1. AHair loss, weight loss and a painful red rash on the face
2. BRespiratory depression, sedation and a prolonged QT interval
3. CHypertensive crisis after eating aged cheese
4. DAgranulocytosis and a sore throat

A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?

1. AThe patient will make small everyday decisions on her own
2. BThe patient will let staff make all her decisions while in hospital
3. CThe patient will move in with a relative who can make decisions for her
4. DThe patient will avoid contact with others until she feels more confident

What is the key difference between factitious disorder and malingering?

1. AMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
2. BThere is no real difference between them, and both terms mean exactly the same thing
3. CIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
4. DIn factitious disorder, the symptoms are not produced on purpose at all

A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?

1. AA physical cause such as dental pain, an ear infection or constipation
2. BThat she is trying to manipulate the staff
3. CThat the behaviour is part of her disability and needs no assessment
4. DThat she needs an antipsychotic to control her behaviour

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