Lembar kerja Keperawatan jiwa dengan jawaban

Seorang anak berusia 6 tahun yang dirawat di rumah sakit mulai mengisap ibu jari dan mengompol lagi. Mekanisme pertahanan diri apa ini?

1. AIntelektualisasi
2. BRegresi
3. CProyeksi
4. DSublimasi

Which level of anxiety involves disorganised thinking, an inability to communicate clearly and possible loss of contact with reality?

1. ANormal everyday anxiety
2. BPanic
3. CMild anxiety
4. DModerate anxiety

Which pattern of decline is typical of vascular dementia?

1. ARapid improvement after starting antipsychotic medicine
2. BStepwise, with sudden worsening after each new vascular event
3. CVery gradual and steady from the start, without sudden changes
4. DComplete recovery within a few weeks

Which pattern suggests premenstrual dysphoric disorder?

1. AMild bloating the day before a period, without any mood changes
2. BMarked mood symptoms in the week before menstruation that improve within a few days after it starts
3. CLow mood throughout the whole month that is not linked to the menstrual cycle
4. DMood symptoms that begin only after the menopause and last for several years

In family systems theory, what is meant by the "identified patient"?

1. AThe family member who has the most serious physical illness
2. BThe patient whose identity has been checked against a wristband before treatment
3. CThe family member who pays for the treatment
4. DThe member whose symptoms are seen as the family's problem

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. ATransference by the patient towards the nurse, which is never the nurse's concern
2. BPossible boundary problems that she should discuss in supervision
3. CThat the patient needs to be transferred to another unit
4. DAn ideal therapeutic relationship

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. ARefuse to give it, because she might become dependent
2. BGive her a placebo tablet instead, without telling her, to see whether she really needs it
3. CAssess her anxiety each time, offer other coping strategies and give it if indicated
4. DAlways give it as soon as she asks, without assessment

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. ABrief experiences like this can be part of normal grief
2. BIt proves she has severe major depression with psychosis
3. CIt means she has delirium and needs urgent tests
4. DIt is a sign of schizophrenia that needs antipsychotic medicine