Lembar kerja Keperawatan jiwa dengan jawaban

What is the main aim of motivational interviewing?

1. ATo tell the person exactly what they must do to recover
2. BTo confront the person firmly until they admit they have a problem
3. CTo help the person explore and resolve their mixed feelings about change
4. DTo frighten the person with the worst possible health consequences of their drinking

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ADarkening of the skin on the hands and face
2. BA dry cough
3. CRinging in the ears
4. DA painful erection that does not go away

In a mental status examination, what does assessing orientation check?

1. AWhether the patient can interpret proverbs and explain their meaning
2. BWhether the patient knows the time, the place and who they are
3. CWhether the patient understands that they are ill and needs treatment for it
4. DWhether the patient's mood matches the facial expression and tone of voice

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. ALamotrigine will lower the valproate level until it has no effect
2. BValproate makes lamotrigine work faster, so the dose must be increased quickly
3. CValproate raises lamotrigine levels, which increases the risk of a serious rash
4. DThe two drugs together cause severe hair growth

A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?

1. AOnly after 7 days without alcohol
2. BWithin 5 minutes of the last drink
3. CAbout 2–3 weeks after the last drink
4. DAbout 6–24 hours after the last drink

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

A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?

1. ASelf-injury without suicidal intent never needs any assessment
2. BSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
3. CShe should be told that cutting is only attention-seeking behaviour
4. DNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. ALet him rest, because the pain will pass when the drug wears off
2. BReassure him that young people do not have heart problems
3. CGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
4. DTreat it as a possible heart attack, with an urgent ECG and medical review