Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. ADerealisation
2. BA delusion of control
3. CA visual hallucination
4. DDepersonalisation

Seorang lelaki yang tertarik kepada rakan sekerja menuduh isterinya mahu berlaku curang. Mekanisme pertahanan manakah ini?

1. ARegresi
2. BUnjuran
3. CPenindasan
4. DRasionalisasi

Apakah delusi?

1. AKepercayaan palsu yang tetap, tidak dikongsi oleh budaya orang itu dan tidak berubah dengan bukti
2. BKehilangan ingatan sementara
3. CKebimbangan munasabah yang singkat tentang masalah sebenar yang reda apabila orang itu ditenangkan
4. DPersepsi tanpa rangsangan

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. AStop the clozapine immediately, because this is a sign of agranulocytosis
2. BRecognise it as a common side effect, report it and suggest a towel on the pillow
3. CTell him that it means the clozapine dose is too low and needs to be increased
4. DExplain that it is a sign of an allergic reaction to the medicine

Which postpartum presentation is a psychiatric emergency?

1. AConfusion, hallucinations and rapidly changing mood a few days after birth
2. BFeeling tearful at times but enjoying the baby and sleeping well when she can
3. CTearfulness and mood swings on the third day after birth
4. DTiredness and worry about feeding the baby in the first week

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. ATreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
2. BIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
3. CGive her a lot of extra attention for the rest of the day
4. DScold her for breaking the ward rules and remove all her privileges

Which intervention is most appropriate for an older patient with delirium?

1. AKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
2. BMove the patient to a different room each day
3. CProvide orientation cues, make sure glasses and hearing aids are used, and involve the family
4. DUse physical restraints at night to prevent falls

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. ADrink a small glass of wine or beer before bed to help him fall asleep
2. BDiscuss with the prescriber whether he can take it in the morning instead
3. CStop the fluoxetine at once and tell the prescriber at his next appointment
4. DTake a double dose at night to make him sleepy