Lembar kerja Keperawatan jiwa dengan jawaban

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. ATardive dyskinesia
2. BWaxy flexibility
3. CEchopraxia
4. DAkathisia

Why are benzodiazepines used with caution in older adults?

1. AThey increase the risk of confusion, falls and fractures
2. BThey cause rapid weight gain and diabetes in all older adults
3. CThey have no effect on the brain in older people
4. DThey raise blood pressure to dangerous levels after a single dose

What is the main mechanism of action of antipsychotic medicines?

1. ABlocking dopamine D₂ receptors
2. BStimulating GABA receptors in the brain
3. CIncreasing the release of dopamine
4. DBlocking the reuptake of serotonin only

How should a nurse screen a patient for intimate partner violence?

1. AAsk in private, without the partner or family present
2. BAsk the partner instead of the patient
3. CAsk in front of the partner to see how he reacts
4. DOnly ask patients who have visible injuries

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AIt causes weight gain, so offer fewer snacks during the day
2. BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
3. CGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
4. DGive it just before bedtime so that it works overnight

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt is given as a daily tablet that contains tiny magnetic particles
2. BIt involves surgically implanting electrodes deep in the brain under anaesthetic
3. CIt needs a general anaesthetic and causes a seizure, like ECT
4. DIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure

A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?

1. ATell her that he is on the ward but refuse to say anything else about his care or condition
2. BGive a full update, because she is a close family member
3. CAsk her to prove she is his sister and then share the details
4. DNeither confirm nor deny that he is there, and offer to pass on a message

A patient with PTSD is having a nightmare and thrashing in bed. What is the safest way for the nurse to wake him?

1. AShake him firmly by the shoulders until he is fully awake
2. BHold his arms down firmly so that he cannot hit anyone or hurt himself while he is still asleep
3. CTurn on all the lights and shout loudly so that he wakes up quickly
4. DStand at a safe distance, say his name clearly and tell him where he is