Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?

1. APre-interaction phase
2. BTermination phase
3. CWorking phase
4. DOrientation phase

Dapatan manakah yang tipikal bagi episod mania?

1. AKeperluan tidur yang berkurang dengan tenaga yang tinggi
2. BPerasaan tidak berharga
3. CTidur 14 jam sehari
4. DPertuturan dan pergerakan yang perlahan

After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?

1. AProjection
2. BSublimation
3. CUndoing
4. DDenial

How does aripiprazole differ from most other antipsychotics?

1. AIt has no effect on dopamine at all
2. BIt is a partial agonist at dopamine D₂ receptors
3. CIt is a benzodiazepine with antipsychotic effects
4. DIt needs weekly white blood cell counts for safety

Which physical finding is common in bulimia nervosa?

1. ARaised blood pressure, a fast pulse and a high temperature
2. BA high serum potassium level
3. CVery low body weight with lanugo hair
4. DSwelling of the salivary glands at the angle of the jaw

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. AStay in bed and watch television or use a phone until sleep finally comes
2. BDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
3. CLook at the clock often to check how much sleep is being lost
4. DIf still awake after about 20 minutes, get up, do something calm and return when sleepy

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHe should be told that his behaviour is unacceptable and that visits will be stopped
2. BHe has antisocial personality disorder that was not noticed before
3. CHe does not care about his wife's death and is using it as an excuse to be rude
4. DHis anger may be part of grief, displaced onto staff, so she should not take it personally

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. AStop answering her calls, because the symptoms are imaginary
2. BAsk the doctor to order new tests every time she reports a symptom
3. CArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
4. DTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way