Pielęgniarstwo psychiatryczne: karta pracy z odpowiedziami

Which feature is central to antisocial personality disorder?

1. AA pattern of disregard for the rights of others, often without remorse
2. BA strong wish for close relationships combined with fear of rejection
3. COdd beliefs, magical thinking, eccentric dress and unusual perceptual experiences
4. DIntense fear of being abandoned by people close to them

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

1. AEmotional reasoning
2. BPersonalisation
3. CAll-or-nothing thinking
4. DCatastrophising

A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?

1. APsychomotor retardation
2. BPsychomotor agitation
3. CCatatonic excitement
4. DAkathisia

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIt has no effects at all in people over 80, so it will not help her sleep
2. BIt raises blood pressure to dangerous levels in older adults
3. CIt is a strong opioid that causes severe dependence
4. DIts anticholinergic effects can cause confusion, urine retention and falls

A patient at risk of suicide is admitted. Which environmental check is most important?

1. ARemove items that could be used for self-harm, such as belts, cords and sharp objects
2. BPlace the patient in a room at the end of the corridor for privacy
3. CMake sure the patient has a television in the room
4. DLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home

Which postpartum presentation is a psychiatric emergency?

1. ATiredness and worry about feeding the baby in the first week
2. BFeeling tearful at times but enjoying the baby and sleeping well when she can
3. CConfusion, hallucinations and rapidly changing mood a few days after birth
4. DTearfulness and mood swings on the third day after birth

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

1. ADiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
2. BTell him he must take it for life and refuse to discuss it
3. CAdvise him to stop it suddenly on his own and see what happens over the next month
4. DReport him to the police and his employer for non-adherence to treatment

A woman arrives in the emergency department after a sexual assault and has a cut on her head that is bleeding. What is the priority?

1. AAssess and treat her physical injuries, then offer forensic examination with her consent
2. BCall the police and wait until they arrive before doing anything else, so that no evidence is lost by mistake
3. CCollect forensic evidence before treating any injuries
4. DAsk her for a detailed account of the assault before any care