Lembar kerja Keperawatan jiwa dengan jawaban

A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?

1. AAvoidant
2. BNarcissistic
3. CSchizoid
4. DAntisocial

Which medicine may be used to treat moderate serotonin syndrome?

1. ATramadol
2. BCyproheptadine
3. CSertraline
4. DPhenelzine

In behaviour therapy, what is negative reinforcement?

1. AIgnoring a behaviour so that it slowly disappears over time
2. BPunishing a behaviour with an unpleasant consequence so that it becomes less likely
3. CTaking away something unpleasant after a behaviour, which makes it more likely
4. DAdding a reward after a behaviour so that it happens more often

A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?

1. AAsk a series of direct questions until he answers
2. BLeave the patient alone until he asks to talk
3. CTell the patient that talking is required to be discharged
4. DSpend short, regular periods with the patient without forcing conversation

Which preparation is usual before electroconvulsive therapy (ECT)?

1. AEating a large meal to prevent low blood sugar during the seizure
2. BStopping all regular medicines for 2 weeks before the first treatment
3. CFasting for several hours, because a brief general anaesthetic is given
4. DNo preparation, because the patient stays fully awake during ECT

A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?

1. AA high serum potassium
2. BA low serum sodium
3. CA high haemoglobin
4. DA low serum cholesterol

During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?

1. AAsk the patients to write their complaints down and then do nothing
2. BTell the patients that the rules cannot be changed
3. CDiscuss the problem openly and involve patients in finding a solution
4. DEnd the meeting so the complaint is not discussed further

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt is acceptable as long as the seclusion lasts for less than an hour
2. BIt is acceptable as long as the patient agrees afterwards
3. CIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
4. DIt is acceptable, because it will make the ward quieter and safer for the other patients