Lembar kerja Keperawatan jiwa dengan jawaban

Setelah dikritik oleh atasannya, seorang perempuan pulang dan membentak anak-anaknya. Mekanisme pertahanan diri apa ini?

1. APembatalan (undoing)
2. BPengalihan (displacement)
3. CPenyangkalan
4. DPembentukan reaksi

What is systematic desensitisation?

1. ASudden and prolonged exposure to the most feared situation at once
2. BA medicine that reduces anxiety within minutes of being taken
3. CGradual exposure to a feared situation, step by step, while using relaxation
4. DTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. ARestating
2. BGiving advice
3. CVoicing doubt
4. DSummarising

A patient at risk of suicide is admitted. Which environmental check is most important?

1. ARemove items that could be used for self-harm, such as belts, cords and sharp objects
2. BPlace the patient in a room at the end of the corridor for privacy
3. CMake sure the patient has a television in the room
4. DLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home

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. AExplore the experience in her cultural context before calling it a symptom
2. BAvoid asking about it, because culture is not relevant to mental health
3. CRecord it immediately as a command hallucination
4. DTell her that her beliefs are not real

Which action reflects trauma-informed care?

1. AExplaining each procedure in advance and offering choices wherever possible
2. BMaking all decisions for the patient so that she does not feel burdened
3. CUsing physical restraint early to prevent any loss of control
4. DAsking the patient to repeat the full trauma story to each new staff member

A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?

1. ASelf-injury without suicidal intent never needs any assessment
2. BShe should be told that cutting is only attention-seeking behaviour
3. CSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
4. DNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time

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