Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Antara yang berikut, yang manakah gejala positif skizofrenia?

1. APertuturan yang miskin (alogia)
2. BAfek mendatar
3. CHalusinasi pendengaran
4. DKurang motivasi (avolisi)

A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?

1. AFlight of ideas
2. BClang association
3. CWord salad
4. DThought blocking

Which group of features is typical of dementia with Lewy bodies?

1. ASudden step-by-step decline after small strokes
2. BFluctuating alertness, detailed visual hallucinations and parkinsonism
3. CEarly personality change and loss of social inhibition
4. DMemory loss only, with no other symptoms or changes in alertness for many years

An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?

1. AGenerativity versus stagnation
2. BIdentity versus role confusion
3. CIntegrity versus despair
4. DIntimacy versus isolation

A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?

1. A"Yes, but you're in the right place now."
2. B"You seem worried about what being here means. Can you tell me more?"
3. C"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
4. D"Of course not. Only crazy people would ask that."

Pemantauan manakah yang amat penting bagi pesakit yang mengambil antipsikotik generasi kedua seperti olanzapin?

1. APendengaran dan penglihatan sahaja, kerana ia paling terjejas oleh ubat ini
2. BBerat badan, lilitan pinggang, glukosa darah dan lipid
3. CKiraan platelet sahaja
4. DKetumpatan tulang sahaja

A patient who was admitted after a serious suicide attempt says, "I'm angry they saved me. Next time I'll do it properly." What should the nurse do?

1. AChange the subject to something more positive, such as his family and his plans for after discharge
2. BMaintain close observation, report the statement and reassess the risk with the team
3. CTell him that he should be grateful to be alive and think about how his family would feel
4. DReduce observation because he is talking openly about his feelings

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AWait for the next routine score in four hours before deciding
2. BEncourage him to drink a large glass of wine to settle the symptoms
3. CReduce monitoring, because a higher score on this scale means that his withdrawal is improving
4. DGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber