Lembar kerja Keperawatan jiwa dengan jawaban

Seseorang yang memiliki perasaan permusuhan yang kuat terhadap tetangganya bersikap sangat ramah dan murah hati kepadanya. Mekanisme pertahanan diri apa ini?

1. APembentukan reaksi (reaction formation)
2. BPengalihan (displacement)
3. CPenyangkalan
4. DKompensasi

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. ADepersonalisation
2. BDerealisation
3. CA visual hallucination
4. DA delusion of control

In behaviour therapy, what is negative reinforcement?

1. APunishing a behaviour with an unpleasant consequence so that it becomes less likely
2. BIgnoring a behaviour so that it slowly disappears over time
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 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
2. BIt must be taken with grapefruit juice to be absorbed
3. CIt is safe in pregnancy and needs no special precautions
4. DIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"Please stop asking about her now and finish your lunch before it gets cold."
2. B"You're thinking about your mother. Tell me about her."
3. C"Your mother died 30 years ago. You know that."
4. D"Your mother will visit you later this afternoon."

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

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

Seorang pasien yang mengalami depresi berat selama berminggu-minggu tiba-tiba ceria dan tenang, dan memberikan jam tangannya kepada pasien lain. Apa tindakan yang paling tepat?

1. AMencatat bahwa suasana hatinya jelas membaik dan menurunkan tingkat pengawasannya
2. BMemuji kemurahan hatinya dan tidak mengatakan apa-apa lagi
3. CMerencanakan kepulangannya besok
4. DMenanyakan langsung tentang pikiran dan rencana bunuh diri serta memberi tahu tim

Seorang pasien meminta perawat berjanji tidak memberi tahu siapa pun bahwa ia berencana bunuh diri. Apa respons yang terbaik?

1. AMenjelaskan dengan ramah bahwa Anda tidak dapat menyimpan rahasia ini karena keselamatannya penting, dan Anda perlu membagikannya kepada tim
2. BMengganti topik
3. CMengatakan bahwa Anda akan memikirkannya
4. DBerjanji menyimpan rahasia agar ia terus bercerita dan percaya pada Anda, serta tidak mencatatnya dalam rekam medis atau memberi tahu tim