Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

How does binge-eating disorder differ from bulimia nervosa?

1. AThe person always has a very low body weight and a fear of gaining weight
2. BThere are no regular compensatory behaviours, such as vomiting or laxative use
3. CThe person never feels a loss of control while eating
4. DBinges happen only once a year, so they are not a problem

A patient believes that the newsreader on television is sending him personal messages. What is this called?

1. AAn idea of reference
2. BA somatic delusion
3. CThought insertion
4. DAn illusion

When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?

1. AConcrete thinking
2. BTangential thinking
3. CFlight of ideas
4. DThought blocking

What is the key difference between factitious disorder and malingering?

1. AMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
2. BThere is no real difference between them, and both terms mean exactly the same thing
3. CIn factitious disorder, the symptoms are not produced on purpose at all
4. DIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward

A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?

1. AThe patient will avoid contact with others until she feels more confident
2. BThe patient will let staff make all her decisions while in hospital
3. CThe patient will move in with a relative who can make decisions for her
4. DThe patient will make small everyday decisions on her own

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIt has no effects at all in people over 80, so it will not help her sleep
2. BIt raises blood pressure to dangerous levels in older adults
3. CIts anticholinergic effects can cause confusion, urine retention and falls
4. DIt is a strong opioid that causes severe dependence

A depressed patient says, "I don't enjoy anything any more, so there's no point in doing anything." Which intervention best reflects behavioural activation?

1. AEncourage him to rest in bed as much as possible until the medicine works
2. BTell him that his thoughts are irrational and he should stop thinking that way
3. CPlan small, scheduled activities with him and review how he felt afterwards
4. DWait until his mood improves before suggesting activities

Lima hari selepas memulakan haloperidol, seorang pesakit mempunyai suhu 40 °C, anggota yang kaku, kekeliruan, tekanan darah yang turun naik dan berpeluh. Apakah yang patut dilakukan oleh jururawat dahulu?

1. ABeri satu lagi dos haloperidol untuk menenangkannya
2. BTahan antipsikotik dan dapatkan bantuan perubatan segera
3. CBeri parasetamol untuk demam dan semak semula pemerhatian dalam 4 jam
4. DGalakkan dia bersenam untuk mengurangkan kekakuan