Lembar kerja Keperawatan jiwa dengan jawaban

To which drug class does methylphenidate belong?

1. ABenzodiazepines
2. BCentral nervous system stimulants
3. CMood stabilisers
4. DAntipsychotics

A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?

1. AGiving approval
2. BVoicing doubt
3. CPresenting reality
4. DGiving recognition

Which early feature is most typical of frontotemporal dementia?

1. AStepwise decline after a series of small strokes
2. BVisual hallucinations of people and animals
3. CChanges in personality and behaviour, such as loss of inhibition
4. DSevere memory loss as the very first symptom, with no change in behaviour

How does memantine work in Alzheimer's disease?

1. AIt increases serotonin by blocking its reuptake
2. BIt blocks NMDA glutamate receptors
3. CIt inhibits the breakdown of acetylcholine
4. DIt blocks dopamine D₂ receptors

When is the best time to teach a patient with an anxiety disorder a relaxation technique?

1. AOnly after the patient has been discharged from hospital
2. BWhen the patient's anxiety is at a mild level
3. CWhen the patient's anxiety is severe, so that the effect can be seen clearly
4. DDuring a panic attack, when the patient needs it most

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ARecord it immediately as a command hallucination
2. BTell her that her beliefs are not real
3. CAvoid asking about it, because culture is not relevant to mental health
4. DExplore the experience in her cultural context before calling it a symptom

In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?

1. AThe nurse has made a serious mistake and should hand her care to a colleague immediately
2. BShe is being rude to the nurse on purpose and should be warned
3. CShe may be showing resistance as painful topics come closer, which the nurse can gently explore
4. DShe no longer needs any help, so the sessions should end at once

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. ATell the patient she is only seeking attention
2. BWait until the next morning to see if she still feels the same once the argument has settled down
3. CCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
4. DAgree with the colleague and take no action at all