Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AWithin 3 days
2. BWithin 3 months
3. COnly after 2 years
4. DOnly after 1 year

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

1. ASchizoid
2. BAvoidant
3. CParanoid
4. DHistrionic

Ciri manakah yang tipikal bagi bulimia nervosa?

1. AMakan berlebihan secara berulang diikuti tingkah laku pampasan seperti muntah
2. BTiada kebimbangan tentang bentuk badan
3. CPembatasan pengambilan makanan yang teruk tanpa sebarang makan berlebihan atau tingkah laku pampasan
4. DBerat badan yang sangat rendah dalam semua kes

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
3. CThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
4. DThese are signs of an allergic reaction, so she should never take lithium again

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. BNeuroleptic malignant syndrome
3. CA relapse of her depression into a severe psychotic depression
4. DAntidepressant discontinuation syndrome

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
2. B"I don't see anyone in the corner, but I know it seems real to you."
3. C"What does the man in the corner look like?"
4. D"The man will go away if you ignore him."

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

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

Tiga minggu selepas memulakan klozapin, seorang pesakit mengalami sakit dada, kadar denyutan jantung ketika rehat 125/min dan demam. Apakah yang patut disyaki oleh jururawat?

1. AKesan sampingan normal yang akan reda
2. BSembelit
3. CSerangan kebimbangan
4. DMiokarditis, yang memerlukan semakan perubatan segera