Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Gejala manakah yang merupakan tanda awal ketoksikan litium?

1. APertambahan berat badan dan mulut kering sahaja
2. BGatal dan ruam
3. CLoya, muntah, cirit-birit dan gegaran kasar
4. DTekanan darah tinggi, muka merah dan sakit kepala yang teruk

A patient believes that the newsreader on television is sending him personal messages. What is this called?

1. AAn idea of reference
2. BThought insertion
3. CAn illusion
4. DA somatic delusion

What is agoraphobia?

1. AFear of being judged or embarrassed while speaking or eating in front of others
2. BFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
3. CFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
4. DFear of one specific object or animal, such as spiders, dogs or snakes

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey are safe to stop suddenly after many months of daily use
2. BThey take 4–6 weeks to have any effect on anxiety, like antidepressants
3. CThey are the preferred long-term treatment for generalised anxiety disorder
4. DThey give rapid relief but are generally used only short-term because of tolerance and dependence

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

1. AThe combination will cause high blood pressure
2. BThe diazepam will block the pain-relieving effect of oxycodone
3. CIncreased sedation and respiratory depression
4. DThere is no interaction between these two drugs

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. ARemove his name from the ward list and give his bed to a new patient who is waiting for admission
2. BStart the missing patient procedure at once, informing the team and, if required, the police
3. CDo nothing, because patients are allowed to leave whenever they want
4. DWait until the next day, because he will probably return on his own

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
2. BReport the finding, review his eating pattern and suggest giving the medicine after breakfast
3. CStop the medicine immediately without telling the prescriber
4. DIgnore it, because weight changes in children are always normal

The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?

1. AMedicine alone, because therapy is not effective in adolescents
2. BFamily-based treatment, in which the parents take an active role in restoring the child's eating
3. CLeaving the young person to decide on her own when to start eating more
4. DLong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere