Lembar kerja Keperawatan jiwa dengan jawaban

Mengapa menggabungkan benzodiazepin dengan alkohol berbahaya?

1. AAlkohol mempercepat pemecahan benzodiazepin sehingga obat berhenti bekerja
2. BKombinasi ini menyebabkan tekanan darah tinggi
3. CKeduanya menekan sistem saraf pusat dan dapat menyebabkan depresi napas
4. DKombinasi ini menyebabkan sindrom serotonin

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar I involves only depression; bipolar II involves only mania
2. BBipolar II is always more severe than bipolar I
3. CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
4. DBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults

How does naltrexone help people with alcohol dependence?

1. AIt replaces alcohol in the brain and prevents withdrawal seizures
2. BIt causes vomiting and flushing if the person drinks alcohol
3. CIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
4. DIt blocks opioid receptors and reduces the craving and pleasure from drinking

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. AMemory complaints in older adults are always caused by dementia
2. BDepression in older adults can look like dementia and is treatable
3. CLow mood after the loss of a partner is always normal grief and never needs any assessment
4. DOlder adults cannot be treated for depression

How should the nurse position herself when talking to an agitated patient?

1. AAt a safe distance, slightly to the side, with a clear exit available
2. BDirectly face to face, as close as possible, to show confidence
3. CBehind the patient and close to him, so that the patient does not feel threatened by eye contact
4. DBetween the patient and the wall, so the patient can leave easily

Which side effects should the nurse monitor for in a patient starting donepezil?

1. AWeight gain and high blood glucose
2. BDry mouth, constipation and urinary retention
3. CNausea, diarrhoea and a slow heart rate
4. DTremor, thirst and passing large amounts of urine

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. AWait until the next morning to see if she still feels the same once the argument has settled down
2. BAgree with the colleague and take no action at all
3. CCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
4. DTell the patient she is only seeking attention

Seorang pasien yang mengonsumsi litium mengalami muntah dan diare selama 2 hari. Kini ia mengalami tremor kasar dan bingung. Apa yang pertama kali harus dilakukan perawat?

1. AMemberikan obat antidiare dan melanjutkan litium seperti biasa, dengan tambahan garam dalam makanannya
2. BMemberikan dosis berikutnya dengan air tambahan
3. CMenahan dosis berikutnya dan segera memberi tahu penulis resep agar kadar litium dapat diperiksa
4. DMenganjurkan diet rendah garam