Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Which pattern of decline is typical of vascular dementia?

1. AStepwise, with sudden worsening after each new vascular event
2. BRapid improvement after starting antipsychotic medicine
3. CVery gradual and steady from the start, without sudden changes
4. DComplete recovery within a few weeks

For which patients is clozapine mainly used?

1. APatients with schizophrenia that has not responded to two other antipsychotics
2. BOlder patients with dementia who become agitated and restless in the evening
3. CPatients having their very first episode of mild psychosis
4. DPatients with mild anxiety who need a short-term sedative

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. AIdentification
2. BSuppression
3. CRationalisation
4. DProjection

An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?

1. AA sudden onset of Alzheimer's disease
2. BA first episode of schizophrenia caused by moving into the home
3. CAn infection such as a urinary tract infection, or a medicine side effect
4. DThe normal ageing process

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. AAvoid asking about it, because culture is not relevant to mental health
2. BRecord it immediately as a command hallucination
3. CTell her that her beliefs are not real
4. DExplore the experience in her cultural context before calling it a symptom

Which feature helps distinguish normal grief from major depression?

1. AIn grief, the person feels worthless and hopeless all the time
2. BGrief always lasts less than 2 weeks
3. CIn grief, painful feelings come in waves and self-esteem is usually kept
4. DIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

1. AReport him to the police and his employer for non-adherence to treatment
2. BDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
3. CTell him he must take it for life and refuse to discuss it
4. DAdvise him to stop it suddenly on his own and see what happens over the next month

In the second session of a new therapy group, members argue about rules and one member challenges the leader's authority. How should the leader interpret this?

1. AThe leader should avoid all conflict by making every decision alone
2. BThe member who challenged the leader should be removed
3. CIt is a normal stage of group development, to be handled openly and calmly
4. DThe group has failed and should be ended before anyone is upset