Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Seorang pesakit mengalami serangan panik. Apakah yang patut dilakukan oleh jururawat?

1. AGalakkan pesakit menyertai aktiviti kumpulan yang sibuk
2. BTerangkan dengan terperinci bagaimana gangguan panik berkembang supaya pesakit memahami serangan itu
3. CKekal bersama pesakit, bercakap dengan tenang dalam ayat yang pendek dan mudah serta sediakan ruang yang tenang
4. DTinggalkan pesakit bersendirian untuk menenangkan diri

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. ACatastrophising
2. BPersonalisation
3. CEmotional reasoning
4. DAll-or-nothing thinking

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAmnesia
2. BApraxia
3. CAphasia
4. DAkathisia

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
2. BIt is safe in pregnancy and needs no special precautions
3. CIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
4. DIt must be taken with grapefruit juice to be absorbed

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Tell me more about what that feeling is like for you."
2. B"Let's talk about something more cheerful."
3. C"Everyone feels that way sometimes."
4. D"You shouldn't say things like that."

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt needs a general anaesthetic and causes a seizure, like ECT
2. BIt is given as a daily tablet that contains tiny magnetic particles
3. CIt involves surgically implanting electrodes deep in the brain under anaesthetic
4. DIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure

A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?

1. ACalmly follow the agreed care plan on activity and observation, without arguing or punishing
2. BPraise her for being so active and motivated, because it shows she is taking care of her health
3. CIgnore it, because exercise is always healthy
4. DTell her she will be tube-fed if she does it again

Seorang pesakit dengan gangguan panik yang diketahui berkata dia mengalami sakit dada dan kesukaran bernafas. Apakah yang patut dilakukan oleh jururawat dahulu?

1. AMenilainya secara fizikal, termasuk tanda vital, dan dapatkan ECG mengikut dasar, sebelum menganggap ia panik
2. BMemberitahunya ia hanya serangan panik yang lain
3. CMeminta dia bernafas perlahan ke dalam beg kertas dan meninggalkannya sendirian sehingga panik berlalu, seperti yang sentiasa berlaku dalam gangguan panik
4. DMemberinya syarahan tentang penstrukturan semula kognitif