Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo punish the patient for the behaviour that led to the restraint
2. BTo review what happened, support those involved and learn how to prevent future restraint
3. CTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
4. DTo decide which staff member should be blamed for the incident

What is the main focus of the recovery model in mental health care?

1. AComplete removal of all symptoms before the person can start to build a good and meaningful life
2. BHope, self-determination and living a meaningful life, even if some symptoms continue
3. CLong-term hospital care for everyone with serious mental illness
4. DProfessionals making all decisions for patients for their own good

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AAntisocial, borderline, histrionic and narcissistic
2. BAvoidant, dependent and obsessive-compulsive
3. CParanoid, schizoid and schizotypal
4. DHistrionic, dependent and schizoid

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt must be taken with grapefruit juice to be absorbed
2. BIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
3. CIt is safe in pregnancy and needs no special precautions
4. DIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. AArrange for only the senior doctor to see him from now on
2. BTell him that he is not as important as he thinks he is
3. CRespond respectfully but firmly, and keep the same expectations as for other patients
4. DAvoid him as much as possible, because he is rude and unpleasant to the nursing staff

Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?

1. AIt causes a dangerous rise in blood sugar
2. BIt causes permanent memory loss after a single dose
3. CIt makes the benzodiazepine effect much stronger
4. DIt can cause sudden withdrawal and seizures

Semasa sesi, seorang pesakit berkata dia berniat mencederakan jirannya yang dinamakan dengan teruk. Apakah prinsip umum yang betul?

1. AAncaman itu patut diabaikan kerana pesakit sering mengatakan perkara yang tidak mereka maksudkan
2. BRisiko kepada orang yang dapat dikenal pasti mesti dikongsi dengan pasukan dan mungkin perlu didedahkan untuk melindungi orang itu, mengikut undang-undang dan dasar
3. CKerahsiaan bermakna tiada apa yang boleh dikongsi
4. DJururawat patut sendiri pergi memberi amaran kepada jiran itu tanpa memberitahu pasukan

On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?

1. ATeaching a patient about the side effects of lithium
2. BCarrying out the full admission suicide risk assessment of a newly admitted patient
3. CEvaluating whether a PRN medicine given an hour ago has worked
4. DAccompanying a stable patient to the dining room and recording his food intake