Kejururawatan Kesihatan Mental: pek ulang kaji kilat

Lembaran formula, langkah kaedah utama untuk setiap topik dan 6 soalan latihan, dengan penyelesaian penuh di bahagian belakang.

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1Formula dan kaedah

Kejururawatan kesihatan mental

Kaedah

  1. Tentukan sama ada terdapat risiko segera: bunuh diri, keganasan, kecemasan akibat ubat atau penyakit fizikal.
  2. Bertindak untuk keselamatan dahulu: perhatikan, alihkan alat yang boleh digunakan, redakan ketegangan, hentikan ubat yang berbahaya, dapatkan bantuan.
  3. Pilih respons terapeutik: akui perasaan, kemukakan realiti, elakkan jaminan palsu dan soalan “mengapa”.
  4. Hormati hak: pilihan yang paling kurang menyekat, persetujuan dan kerahsiaan beserta hadnya.

2Soalan latihan

1.Kejururawatan kesihatan mentalSederhana

Which item is part of a safety plan for a person experiencing domestic violence?

  1. AKeeping all important documents in the shared house
  2. BTelling the abuser about plans to leave so that he can prepare
  3. CAvoiding contact with friends and support services so as not to provoke him
  4. DKeeping an emergency bag with documents, money and keys somewhere safe
2.Kejururawatan kesihatan mentalSukar

A woman taking carbamazepine for bipolar disorder uses an oral contraceptive pill. What should the nurse teach?

  1. AThe two drugs do not interact in any way
  2. BCarbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
  3. CCarbamazepine increases the effect of the pill, so she can take it every other day
  4. DShe should take the pill and the carbamazepine at exactly the same time each day so that both of them stay fully effective
3.Psikologi klinikalSederhana

Yang manakah kritikan utama terhadap pentakrifan ketidaknormalan sebagai penyimpangan daripada norma sosial?

  1. ANorma berbeza merentasi budaya dan berubah mengikut masa
  2. BIa hanya terpakai kepada kanak-kanak
  3. CIa memerlukan imbasan otak yang mahal
  4. DIa mengabaikan betapa jarang atau luar biasanya sesuatu tingkah laku secara statistik
4.Psikologi klinikalSukar

Mengapakah model perubatan penyakit mental dikritik oleh penyokong pendekatan psikologi?

  1. AIa menolak penggunaan ubat sepenuhnya
  2. BIa berasaskan analisis mimpi sahaja
  3. CIa menafikan bahawa otak dan faktor biologi mempunyai sebarang peranan dalam tingkah laku atau emosi
  4. DIa mungkin mengabaikan punca psikologi dan sosial serta mengurangkan rasa keupayaan bertindak seseorang
5.FarmakologiSederhana

During an amphotericin B infusion, the patient has fever, chills and shaking. What is the most likely explanation?

  1. AA sign that the drug has been given into an artery
  2. BSevere hypoglycaemia caused by the drug
  3. CA sign that the fungal infection is cured
  4. DA common infusion reaction to amphotericin B
6.FarmakologiSukar

Why are oral liquid medicines drawn up in dedicated oral or enteral syringes that do not fit IV connectors?

  1. ATo keep the medicine sterile for injection
  2. BTo prevent oral liquids being given intravenously by mistake
  3. CTo make the oral dose more accurate than a dose given through an IV syringe
  4. DBecause IV syringes cannot hold liquids

3Larutan

1.Kejururawatan kesihatan mental

Jawapan: D · Keeping an emergency bag with documents, money and keys somewhere safe

Mengapa ini jawapannya

A safety plan includes an escape bag, important documents, a safe place to go, emergency numbers and a code word with trusted people. The time of leaving can be the most dangerous period.

Jawapan

D · Keeping an emergency bag with documents, money and keys somewhere safe
2.Kejururawatan kesihatan mental

Jawapan: B · Carbamazepine can make the pill less effective, so she should discuss contraception with the prescriber

Mengapa ini jawapannya

Carbamazepine induces liver enzymes and speeds up the breakdown of many drugs, including hormonal contraceptives. This can lead to unplanned pregnancy, and carbamazepine is also teratogenic.

Jawapan

B · Carbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
3.Psikologi klinikal

Jawapan: A · Norma berbeza merentasi budaya dan berubah mengikut masa

Mengapa ini jawapannya

Norma sosial khusus kepada budaya dan zaman, jadi takrifan ini boleh melabel ketidakpatuhan yang tidak berbahaya sebagai gangguan dan telah digunakan untuk mewajarkan kawalan sosial.

Jawapan

A · Norma berbeza merentasi budaya dan berubah mengikut masa
4.Psikologi klinikal

Jawapan: D · Ia mungkin mengabaikan punca psikologi dan sosial serta mengurangkan rasa keupayaan bertindak seseorang

Mengapa ini jawapannya

Model perubatan menganggap gangguan sebagai penyakit dengan punca biologi, yang mengurangkan rasa bersalah tetapi boleh mengabaikan peristiwa hidup, makna dan konteks, serta boleh menggalakkan pergantungan pasif pada ubat.

Jawapan

D · Ia mungkin mengabaikan punca psikologi dan sosial serta mengurangkan rasa keupayaan bertindak seseorang
5.Farmakologi

Jawapan: D · A common infusion reaction to amphotericin B

Mengapa ini jawapannya

Amphotericin B often causes fever, rigors and nausea during infusion. Premedication and a slower rate can reduce them, and kidney function and electrolytes are monitored.

Jawapan

D · A common infusion reaction to amphotericin B
6.Farmakologi

Jawapan: B · To prevent oral liquids being given intravenously by mistake

Mengapa ini jawapannya

Wrong-route errors, such as giving an oral liquid IV, can be fatal. Syringes with connectors that cannot fit IV lines make this error physically difficult.

Jawapan

B · To prevent oral liquids being given intravenously by mistake

ExamProblems · examproblems.com/courses/mental-health-nursing