Keperawatan Jiwa: paket kilat

Lembar rumus, langkah-langkah metode utama untuk setiap topik, dan 6 soal latihan, dengan pembahasan lengkap di bagian belakang.

Soal baruKembali ke mata kuliah

Di jendela cetak, pilih “Simpan sebagai PDF” untuk menyimpan salinan di perangkat Anda.

1Rumus dan metode

Keperawatan jiwa

Metode

  1. Tentukan apakah ada risiko yang mengancam saat ini: bunuh diri, kekerasan, kegawatan akibat obat, atau penyakit fisik.
  2. Bertindak untuk keselamatan lebih dulu: observasi, singkirkan sarana yang berbahaya, lakukan deeskalasi, hentikan obat yang merugikan, minta bantuan.
  3. Pilih respons terapeutik: akui perasaan, sampaikan kenyataan, hindari penghiburan palsu dan pertanyaan “mengapa”.
  4. Hormati hak pasien: pilihan yang paling tidak membatasi, persetujuan, dan kerahasiaan beserta batasnya.

2Soal latihan

1.Keperawatan jiwaSedang

Which treatment is recommended first-line for chronic insomnia in adults?

  1. AStaying in bed for longer each morning
  2. BLong-term daily benzodiazepines
  3. CCognitive behavioural therapy for insomnia (CBT-I)
  4. DDrinking alcohol in the evening to fall asleep
2.Keperawatan jiwaSulit

An 80-year-old patient taking a benzodiazepine for sleep fell at night on the way to the toilet. After checking her for injury, what is the most appropriate next step?

  1. AUse bed rails and a restraint every night to keep her safely in bed until the morning
  2. BGive an extra dose so that she sleeps through the night without getting up
  3. CReport the fall, put falls precautions in place and ask for a review of her sleep medicine
  4. DDo nothing more, because falls are normal in older people
3.Psikologi klinisSedang

Gangguan kepribadian mana yang ditandai pola menyeluruh mengabaikan hak orang lain?

  1. AGangguan kepribadian menghindar
  2. BGangguan kepribadian dependen
  3. CGangguan kepribadian ambang (borderline)
  4. DGangguan kepribadian antisosial
4.Psikologi klinisSulit

Makan berlebihan (binge) pada seorang klien terjadi setidaknya seminggu sekali selama tiga bulan, dengan kehilangan kendali dan tekanan, tetapi tanpa muntah, laksatif, atau olahraga berlebihan. Diagnosis mana yang sesuai?

  1. AGangguan makan berlebihan (binge-eating disorder)
  2. BBulimia nervosa
  3. CGangguan asupan makanan menghindar/restriktif
  4. DAnoreksia nervosa, tipe binge-purge
5.FarmakologiSedang

Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?

  1. AThis gene variant makes carbamazepine ineffective
  2. BIt greatly raises the risk of Stevens–Johnson syndrome
  3. CThis gene variant causes carbamazepine to raise blood glucose
  4. DThis gene variant speeds up the kidney excretion of carbamazepine
6.FarmakologiSulit

A patient on stable warfarin is prescribed a course of metronidazole. What is the likely effect, and what should the nurse expect?

  1. AThe INR falls, so the risk of clotting increases
  2. BThe INR stays the same, as these drugs do not interact
  3. CMetronidazole replaces warfarin, so warfarin is stopped
  4. DThe INR rises, so closer INR monitoring is needed

3Larutan

1.Keperawatan jiwa

Jawaban: C · Cognitive behavioural therapy for insomnia (CBT-I)

Mengapa ini jawabannya

CBT-I combines sleep education, stimulus control, sleep restriction and work on unhelpful beliefs about sleep. It has lasting effects and fewer risks than long-term sleeping tablets.

Jawaban

C · Cognitive behavioural therapy for insomnia (CBT-I)
2.Keperawatan jiwa

Jawaban: C · Report the fall, put falls precautions in place and ask for a review of her sleep medicine

Mengapa ini jawabannya

Benzodiazepines increase the risk of falls in older adults. After a fall, the nurse reports it, reduces risks such as poor lighting and the distance to the toilet, and asks for a medication review.

Jawaban

C · Report the fall, put falls precautions in place and ask for a review of her sleep medicine
3.Psikologi klinis

Jawaban: D · Gangguan kepribadian antisosial

Mengapa ini jawabannya

Gangguan kepribadian antisosial mencakup tipu daya, impulsivitas, agresi, dan tidak adanya penyesalan, dengan bukti gangguan perilaku pada masa kanak-kanak.

Jawaban

D · Gangguan kepribadian antisosial
4.Psikologi klinis

Jawaban: A · Gangguan makan berlebihan (binge-eating disorder)

Mengapa ini jawabannya

Gangguan makan berlebihan melibatkan episode binge berulang dengan tekanan tetapi tanpa perilaku kompensasi yang rutin. Bulimia mensyaratkan perilaku kompensasi, dan anoreksia mensyaratkan berat badan yang sangat rendah.

Jawaban

A · Gangguan makan berlebihan (binge-eating disorder)
5.Farmakologi

Jawaban: B · It greatly raises the risk of Stevens–Johnson syndrome

Mengapa ini jawabannya

The HLA-B*15:02 allele, common in parts of South-East Asia, is strongly linked to carbamazepine-induced Stevens–Johnson syndrome and toxic epidermal necrolysis. Carriers are given a different drug.

Jawaban

B · It greatly raises the risk of Stevens–Johnson syndrome
6.Farmakologi

Jawaban: D · The INR rises, so closer INR monitoring is needed

Mengapa ini jawabannya

Metronidazole inhibits the metabolism of warfarin (mainly via CYP2C9), so warfarin levels and the INR rise. The bleeding risk increases, and the INR is checked more often during and after the course.

Jawaban

D · The INR rises, so closer INR monitoring is needed

ExamProblems · examproblems.com/courses/mental-health-nursing