Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

In Freud's theory of personality, what is the role of the ego?

1. ATo seek immediate pleasure regardless of the consequences
2. BTo balance the demands of the id, the superego and reality
3. CTo store all forgotten memories from childhood
4. DTo act as the moral conscience that creates guilt

In a mental status examination, what does assessing orientation check?

1. AWhether the patient knows the time, the place and who they are
2. BWhether the patient can interpret proverbs and explain their meaning
3. CWhether the patient understands that they are ill and needs treatment for it
4. DWhether the patient's mood matches the facial expression and tone of voice

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ARinging in the ears
2. BDarkening of the skin on the hands and face
3. CA dry cough
4. DA painful erection that does not go away

Which effects of methadone should the nurse monitor for?

1. AAgranulocytosis and a sore throat
2. BHair loss, weight loss and a painful red rash on the face
3. CRespiratory depression, sedation and a prolonged QT interval
4. DHypertensive crisis after eating aged cheese

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

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

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AOnly while the patient is asleep in hospital
2. BOnly after one year at home
3. CIn the first weeks after discharge
4. DThere is no change in risk after discharge

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. ABrief experiences like this can be part of normal grief
2. BIt is a sign of schizophrenia that needs antipsychotic medicine
3. CIt proves she has severe major depression with psychosis
4. DIt means she has delirium and needs urgent tests

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. AAlways give it as soon as she asks, without assessment
2. BAssess her anxiety each time, offer other coping strategies and give it if indicated
3. CGive her a placebo tablet instead, without telling her, to see whether she really needs it
4. DRefuse to give it, because she might become dependent