Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Seorang pesakit bercakap dengan pantas, melompat dari satu topik ke topik lain, dengan setiap idea dikaitkan secara longgar dengan idea sebelumnya. Apakah namanya?

1. APenyekatan pemikiran
2. BPertuturan yang miskin
3. CLompatan idea
4. DPerseverasi

What is a token economy?

1. AA form of punishment in which a privilege is removed for every ward rule that the patient breaks
2. BA programme in which patients earn tokens for target behaviours and swap them for rewards
3. CA method of group therapy based on discussing money problems
4. DA system that lets patients pay for their own medicines and snacks while on the ward

What are the two core areas affected in autism spectrum disorder?

1. AMemory and orientation to time and place
2. BReading and writing only, with completely normal social skills and play
3. CMood and appetite, which change with the seasons
4. DSocial communication and interaction, and restricted, repetitive behaviours or interests

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

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

Why is the nurse's body language important in therapeutic communication?

1. APatients with mental illness cannot understand non-verbal signals
2. BIt is only important during the termination phase
3. CPatients often respond more to non-verbal messages than to the words used
4. DBody language matters only when patients cannot speak the same language

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. ANeuroleptic malignant syndrome
2. BAntidepressant discontinuation syndrome
3. CSerotonin syndrome
4. DA relapse of her depression into a severe psychotic depression

A patient tells the nurse, "You're the only one I can talk to. You're much better than the other nurses." What is the most appropriate response?

1. A"You shouldn't compare nurses. That's not fair to them, and it's rude."
2. B"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."
3. C"I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
4. D"Thank you. I'll make sure I'm always the one assigned to you from now on."

Seorang pesakit sukarela yang tiada risiko kemudaratan segera mahu meninggalkan wad bertentangan dengan nasihat perubatan. Apakah pendekatan umum yang betul?

1. ATerangkan risikonya, maklumkan pasukan, dokumenkan perbincangan dan hormati haknya untuk pergi mengikut undang-undang dan dasar
2. BKunci pintu untuk menghalang pesakit pergi
3. CMenyembunyikan barang milik pesakit
4. DMemberitahu pesakit bahawa kakitangan akan mengekangnya dan membawanya kembali ke wad jika dia cuba pergi tanpa kebenaran doktor