Keperawatan Jiwa: paket kilat

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

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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

What is the key difference between factitious disorder and malingering?

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

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

  1. AIgnore it, because weight changes in children are always normal
  2. BReport the finding, review his eating pattern and suggest giving the medicine after breakfast
  3. CStop the medicine immediately without telling the prescriber
  4. DAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
3.Psikologi klinisSedang

Model diatesis-stres mengusulkan bahwa gangguan mental muncul dari:

  1. AHanya stres
  2. BHanya gen
  3. CKerentanan yang mendasari dikombinasikan dengan stres lingkungan
  4. DHanya pengasuhan yang buruk
4.Psikologi klinisSulit

"Dodo bird verdict" dalam riset psikoterapi mengacu pada temuan bahwa:

  1. AKlien yang tidak ditangani dalam daftar tunggu membaik lebih cepat daripada klien yang ditangani
  2. BObat selalu mengungguli psikoterapi
  3. CBerbagai terapi yang sahih (bona fide) sering menghasilkan hasil yang secara umum serupa
  4. DHanya psikoanalisis yang efektif untuk depresi
5.FarmakologiSedang

A parent will give a liquid medicine to a child at home. Which advice is safest?

  1. AMix the dose into a full bottle of milk
  2. BUse the oral syringe or measuring cup supplied with it
  3. CEstimate the dose by pouring the liquid into a small cup
  4. DUse any kitchen teaspoon
6.FarmakologiSulit

A patient taking dabigatran has a life-threatening bleed. Which specific reversal agent is used?

  1. AVitamin K
  2. BProtamine sulfate
  3. CAndexanet alfa
  4. DIdarucizumab

3Larutan

1.Keperawatan jiwa

Jawaban: A · In factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward

Mengapa ini jawabannya

In both, symptoms are produced or exaggerated on purpose. In factitious disorder the motivation is internal, the sick role; in malingering it is external, such as money, drugs or avoiding duties.

Jawaban

A · In factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
2.Keperawatan jiwa

Jawaban: B · Report the finding, review his eating pattern and suggest giving the medicine after breakfast

Mengapa ini jawabannya

Appetite suppression is a common stimulant effect and can affect growth. The prescriber needs to know, and strategies such as giving the dose after breakfast and offering a good evening meal can help.

Jawaban

B · Report the finding, review his eating pattern and suggest giving the medicine after breakfast
3.Psikologi klinis

Jawaban: C · Kerentanan yang mendasari dikombinasikan dengan stres lingkungan

Mengapa ini jawabannya

Menurut model ini, predisposisi (biologis atau psikologis) baru menimbulkan gangguan bila dipicu oleh stres yang cukup.

Jawaban

C · Kerentanan yang mendasari dikombinasikan dengan stres lingkungan
4.Psikologi klinis

Jawaban: C · Berbagai terapi yang sahih (bona fide) sering menghasilkan hasil yang secara umum serupa

Mengapa ini jawabannya

Meta-analisis sering menemukan perbedaan kecil antara terapi-terapi yang mapan, yang dianggap mendukung faktor umum seperti aliansi. Beberapa gangguan, seperti OCD dan fobia, menunjukkan keunggulan jelas untuk penanganan spesifik seperti paparan (exposure).

Jawaban

C · Berbagai terapi yang sahih (bona fide) sering menghasilkan hasil yang secara umum serupa
5.Farmakologi

Jawaban: B · Use the oral syringe or measuring cup supplied with it

Mengapa ini jawabannya

Kitchen spoons are inaccurate and can cause under- or overdosing. Oral syringes in millilitres are the most accurate, and mixing doses into a whole bottle risks the child not getting the full dose.

Jawaban

B · Use the oral syringe or measuring cup supplied with it
6.Farmakologi

Jawaban: D · Idarucizumab

Mengapa ini jawabannya

Idarucizumab is an antibody fragment that binds dabigatran. Andexanet alfa reverses factor Xa inhibitors, protamine reverses heparin, and vitamin K reverses warfarin.

Jawaban

D · Idarucizumab

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