МАТЕРИАЛ ДЛЯ ТЕКУЩЕГО КОНТРОЛЯ УРОВНЯ ЗНАНИЙ СТУДЕНТОВ ПО РАЗДЕЛУ «СЕСТРИНСКИЙ УХОД В ПСИХИАТРИИ»



 

Задание 1.Изучите материал из указанного источника http://www.bipolardisordersymptoms.info/или тексты для домашнего чтения и  выполните задания. При работе пользуйтесь онлайн-словарем http://www.lingvo-online.ru/ru.

 

Signs and symptoms. Manifestations of mental disorders

 

Ex.1. Translate the following.

Mental disorders:

1. psychosis (disturbed perception and thoughts) _________________

2. anxiety________________________

3. mania____________________________

 

Ex.2. Identify which of these typical symptoms is associated with each disorder in ex.1.Fill in the table.

delusions

euphoria

auditory hallucinations

panic attacks

paranoia

pressured speech

racing thoughts

repeated checking

uncontrollable crying

 

 

psychosis anxiety mania
     
     
     
     
     
     

 

Ex.3. Match sentences 1-9 with symptoms in ex.2.

1. “He talks virtually non-stop – nobody can interrupt him or even understand him.”_________________

2. “At those times I have so much energy and I am so high that people around me get scared.”_________________

3. “The thoughts just won’t be quiet; they gallop around in my head so fast sometimes I want to scream.”______________

4. “The voices comment on everything I do. One of them keeps calling me stupid.”_______________

5. “Aliens have removed my brain and I am now under constant police surveillance.”_______________

6. “I know people are out to get me – you hate me too, don’t you?”________________

7. “Sometimes she has simply sat sobbing on a chair, her face wet with tears.”______________________

8. “I have made sure that the oven is turned off, and the iron is disconnected and the TV is unplugged, oh yes, and the hi-fi too. Have I checked the oven?”__________________________

9. “The patient has been experiencing recurrent unexpected episodes of severe anxiety.”_____________________________

 

Ex.4. Read the following short stories of the patients and try to identify what group of bipolar disorder symptoms they belong to:

A. Bipolar Depression Symptoms.

B. Bipolar Mania Symptoms.

C. Hypomanic Episodes.

D. Mixed Episodes.

My Story

1. I stay in bed a lot. I find it difficult to get up in the morning. Sometimes I sleep in and don't attend class. Many nights I find it difficult to fall asleep. If only I didn't wake up every 3 hours, I wouldn't have to sleep in!

~ Yao, Haidian, Beijing

2. In my depression, I felt more numb than sad. I was emotionless. My feet felt heavy, the door seemed miles away, and brushing my teeth felt like an impossible task. I just wanted it to stop, and I was crushed by the fact I couldn't make it go away.

~ Adela, London, UK

3. My weight changes consistently with my mood. The lower my mood, the more I eat. Pizza, ice-cream, french fries, anything oily will do. It's not that I'm hungry. I could be bloating and still eat more. When I'm down, food comforts and distracts me.

~ Juana, Havana, HA

4. It's not that I don't care about stuff when I'm depressed. I'm unable to care about stuff. I'm not indifferent, cold, or selfish. I want to be emotional, caring, and passionate. It's like the dentist put too much freezing in my head.

~ Atilio, Cuzco, Peru

5. I sleep 10 hours a night, and I still wake up tired. I stopped exercising hoping to save energy, but it just keeps getting worse. It does not matter if I exercise, rest, sleep, or watch T.V. - I feel tired, exhausted.

~ Louise, Abbott, TX

6. So it's called anhedonia. I thought it was called 'I hate life and it sucks, and there's nothing to do here'. When I feel this way, it does not matter what you say or give me. You could give me a ticket to a tropical paradise and I would not care less. Even if we went, it would not be any fun.

~ Saliar, Cape Town, WC

7. I felt extremely guilty when I was depressed. I felt terrible because I thought I committed murder. I felt devastated as I took a child's life and caused so much suffering to her parents. It turned out I was delusional about the murder. Strangely, there was nothing delusional about the intense feelings of guilt. They were real.

~ Brendon, Dublin, LE

8. I thought I was better off dead. I thought to end it all was the best solution. I made one last call, to the suicide crisis line. I had run out of options, I was at a dead end, and there was no light at the end of the tunnel. I'm glad I phoned. I haven't felt this happy and excited about life in 5 years.

~ Ichiro, Tokyo, TO

9. A new laptop, office and a grandiose mind. I wrote articles about a variety of topics. I was sure I'd receive a Nobel Prize. I even quit my job, spent $3000 on equipment and office rent. Just one more bipolar mania fantasy, another empty bank account, and a predictable dive into hopeless depression.

~ Carine, Montreal, QB

10. My first university exam. I stared at the numbers. They didn't make sense. I tried adding, subtracting, multiplying them. It should have been simple. Yet, I couldn't add 5 and 5. By the time I looked at the second number, I forgot what I was trying to do. I failed. I got better. Then I passed the course with flying colors.

~ Emma, Sydney, NSW

11. My wife said there was no butter. I exploded and threw the milk against the wall. I never used to react like this. I'd always say, "no problem". During my manic episode, I felt like it was the last straw. No butter, no fantastic sandwich, and now no milk! I felt like breaking a window. I never thought I'd go to the doctor for a thing like this, but his treatment helped.

~ Alayna, New York, NY

12. I suffer from insomnia, but only when I'm manic/high. If the mood is up, I'll stay awake most of the night. I don't sleep more than 3 hours. I don't feel like I need to sleep, and actually don't feel tired. I'm not that productive when I'm like this because the following day I'm pretty tired.

~ Alita, Mexico City, DF

13. As a veteran miner, I work underground drilling rock. One manic day my thoughts were scattered, going way too fast, and I was unable to pay due attention to the safety of my co-workers. At the time, I did not know what was happening. I still drill rock, and if I'm distracted, I take the day off.

~ Wyatt, Calgary, AB

14. My son was talking very fast yesterday. I had no idea what he was trying to say. He seemed passionate and driven. He was late for school, but every time I tried to remind him he just ignored me and kept talking. This has been easier to endure lately, especially after learning this is a symptom of bipolar disorder.

~ Jeroen, Amsterdam, NH

15. "I need some chocolate. Do I have homework? Do fish breath underwater? Maybe I should phone Anthony. This world seems so messed up. My teacher was so upset. Wait, I forgot to clean the kitchen. Is it going to snow today? Right, I was going to clean the kitchen." Whenever my thoughts race like this and the ideas fly by I can't pay attention, and nothing gets done.

~ Aldon, Miami, FL

16. Thoughtlessness destroys my life. I hate it, I fight it, and I can't stop it. I lose my common sense, and end up hurting my relationships, my family, and my finances. I keep buying stuff I don't need, saying things I don't mean, and investing in stocks that I should avoid.

~ Lincoln, Vancouver, BC

17. Last time I had an elevated mood, I was like a run-away train. I was having dinner with my friends, but I could not help standing up and walking around as I talked. I kept going on about how I wanted to "get out" that night and play basketball. It was late, and most of my friends were heading home - they looked at me and asked me, "What are you on?".

~ Fabian, Toronto, ON

18. Terminal cancer in my brain. I'm sure I had it. I went to the doctor to request radiation. He found nothing, and referred me to a psychiatric ward. I was confused. I needed radiation, not a psychiatrist. Fortunately, after psychiatric treatment for my depression, I realized I did not have cancer. I thought this as I was psychotically depressed and delusional.

~ Osahar, Cairo, NE

19. The tears were rolling down my cheek as I was laughing. It felt extreme, unnatural and very uncomfortable. I would have traded all of my money to make it go away. My sister saw me and phoned for help. With the treatment I have now, I don't experience mixed state anymore.

~ Adam, Calgary, AB

20. I love being hypomanic. It's like I've got everything under control. My boss is happy because I work hard, I get the house clean and make dinners for all week. My friends think I'm funny and we all have a good time. I burn lots of calories at the gym. Unfortunately, it never lasts long.

~ Audrey, LosAngeles, CA


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