Lembar kerja Keperawatan jiwa dengan jawaban

A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?

1. ABright light therapy
2. BLithium carbonate
3. CElectroconvulsive therapy
4. DSeclusion in a quiet room

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

A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?

1. AThought broadcasting
2. BEcholalia
3. CFlight of ideas
4. DThought blocking

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt suggests that the patient's choices are judged against the nurse's standards
2. BIt always makes the patient angry and more likely to become aggressive towards staff
3. CIt shows that the nurse is not listening at all
4. DIt is against the law in mental health settings

What is the key difference between factitious disorder and malingering?

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

Which preparation is usual before electroconvulsive therapy (ECT)?

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

A woman who takes lithium for bipolar disorder tells the nurse she would like to become pregnant. What is the best response?

1. A"Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
2. B"Stop the lithium today so that it is out of your body before you get pregnant."
3. C"Lithium is completely safe in pregnancy, so there is no need to change anything at all."
4. D"You'll need to choose between treating your bipolar disorder and having a baby."

A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?

1. ACalmly follow the agreed care plan on activity and observation, without arguing or punishing
2. BPraise her for being so active and motivated, because it shows she is taking care of her health
3. CTell her she will be tube-fed if she does it again
4. DIgnore it, because exercise is always healthy