Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

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. BDenial
3. CUndoing
4. DSublimation

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. AExtrapyramidal side effects such as dystonia and pseudoparkinsonism
2. BLow white blood cell count
3. CWeight gain and raised blood glucose
4. DRaised prolactin and breast enlargement

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. ALithium
2. BDantrolene
3. CHaloperidol
4. DFluoxetine

What should a patient starting zolpidem for insomnia be taught to report?

1. AFeeling sleepy about 30 minutes after taking it at bedtime
2. BFeeling slightly more rested and alert the next morning than before starting the medicine
3. CSleeping through the night without waking up
4. DDoing things while not fully awake, such as sleepwalking or driving, with no memory of it

What is the CIWA-Ar scale used for?

1. AScreening for dementia in older adults
2. BMeasuring the risk of falls in hospital
3. CMeasuring the depth of sedation in patients on a ventilator in intensive care
4. DRating the severity of alcohol withdrawal to guide treatment

Pemantauan manakah yang penting bagi pesakit yang memulakan valproat?

1. AFungsi hati dan tanda pankreatitis, serta kaunseling tentang risiko kehamilan
2. BTekanan mata sahaja
3. CFungsi paru-paru dan sinar-X dada berkala, kerana risiko fibrosis pulmonari
4. DUjian pendengaran

A patient with an anxiety disorder speaks so quickly about her worries that the nurse cannot follow. Which response is most helpful?

1. A"There's really nothing to worry about, so just try to relax."
2. B"You're talking too fast, so we'll have to stop for today."
3. C"Let me tell you what I think your problem is, and then we can talk."
4. D"Let's slow down and talk about one thing at a time. What worries you most right now?"

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. AGive her a placebo tablet instead, without telling her, to see whether she really needs it
2. BRefuse to give it, because she might become dependent
3. CAssess her anxiety each time, offer other coping strategies and give it if indicated
4. DAlways give it as soon as she asks, without assessment