Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

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

1. ATangential thinking
2. BThought blocking
3. CFlight of ideas
4. DConcrete thinking

The SOLER approach is a guide to which aspect of communication?

1. ADocumenting patient records accurately
2. BAssessing the risk of suicide
3. CWriting nursing care plans
4. DNon-verbal attending behaviour

Why are benzodiazepines used with caution in older adults?

1. AThey have no effect on the brain in older people
2. BThey raise blood pressure to dangerous levels after a single dose
3. CThey cause rapid weight gain and diabetes in all older adults
4. DThey increase the risk of confusion, falls and fractures

A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?

1. ANew or worsening suicidal thoughts or unusual changes in mood or behaviour
2. BSevere weight gain in the first week
3. CSigns of physical dependence, because it is a controlled stimulant
4. DA dangerous rise in blood pressure after eating foods that contain tyramine

What should a patient taking chlorpromazine be taught about sun exposure?

1. AUse sunscreen and protective clothing, because the skin may burn easily
2. BSun exposure has no effect while taking this medicine
3. CSunbathe for longer each day to improve mood
4. DAvoid going outside at all, even in winter, for the rest of his life

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. ASerotonin syndrome
2. BA relapse of her depression into a severe psychotic depression
3. CAntidepressant discontinuation syndrome
4. DNeuroleptic malignant syndrome

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 proves she has severe major depression with psychosis
3. CIt means she has delirium and needs urgent tests
4. DIt is a sign of schizophrenia that needs antipsychotic medicine

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. ANeuroleptic malignant syndrome from his antipsychotic medicine
2. BDehydration caused by anticholinergic side effects
3. CA worsening of his psychosis that needs a higher dose of antipsychotic
4. DWater intoxication from psychogenic polydipsia