Lembar kerja Keperawatan jiwa dengan jawaban

Seorang mahasiswa yang gagal ujian berkata, "Soalnya tidak adil, jadi tidak masalah." Mekanisme pertahanan diri apa ini?

1. AKonversi
2. BIdentifikasi
3. CRasionalisasi
4. DRepresi

A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?

1. AAkathisia
2. BPsychomotor retardation
3. CCatatonic excitement
4. DPsychomotor agitation

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. ARaised prolactin and breast enlargement
2. BLow white blood cell count
3. CExtrapyramidal side effects such as dystonia and pseudoparkinsonism
4. DWeight gain and raised blood glucose

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. ATell him that it means the clozapine dose is too low and needs to be increased
2. BRecognise it as a common side effect, report it and suggest a towel on the pillow
3. CExplain that it is a sign of an allergic reaction to the medicine
4. DStop the clozapine immediately, because this is a sign of agranulocytosis

Which preparation is usual before electroconvulsive therapy (ECT)?

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

What should a patient starting zolpidem for insomnia be taught to report?

1. AFeeling slightly more rested and alert the next morning than before starting the medicine
2. BFeeling sleepy about 30 minutes after taking it at bedtime
3. CSleeping through the night without waking up
4. DDoing things while not fully awake, such as sleepwalking or driving, with no memory of it

A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?

1. AAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
2. BAsking the assistant to sit with a calm patient during a group art activity and report any concerns
3. CAsking the assistant to take routine vital signs of a stable patient
4. DAsking the assistant to help a patient with personal hygiene

Seorang pasien skizofrenia menolak antipsikotiknya, dengan alasan obat itu membuatnya merasa lamban. Apa respons awal yang terbaik?

1. AMenyembunyikan obat dalam makanannya
2. BMenggali alasannya dan efek sampingnya, serta memberi tahu tim agar pengobatan dapat ditinjau
3. CMengatakan bahwa ia akan direstrain dan disuntik bila tidak minum tablet lewat mulut
4. DMencatat "menolak" dan tidak pernah membahasnya lagi