Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Mengapakah menggabungkan benzodiazepin dengan alkohol berbahaya?

1. AGabungan itu menyebabkan sindrom serotonin
2. BAlkohol mempercepat pemecahan benzodiazepin sehingga ia berhenti berfungsi
3. CKedua-duanya menekan sistem saraf pusat dan boleh menyebabkan kemurungan pernafasan
4. DGabungan itu menyebabkan tekanan darah tinggi

Apakah perbezaan antara penindasan (suppression) dan represi (repression)?

1. AKedua-duanya ialah tanda psikosis
2. BKedua-duanya sentiasa sedar
3. CPenindasan adalah sedar; represi adalah tidak sedar
4. DPenindasan adalah tidak sedar; represi adalah sedar

Which group of features is typical of dementia with Lewy bodies?

1. AMemory loss only, with no other symptoms or changes in alertness for many years
2. BFluctuating alertness, detailed visual hallucinations and parkinsonism
3. CSudden step-by-step decline after small strokes
4. DEarly personality change and loss of social inhibition

Bilakah darah patut diambil untuk mengukur paras litium pesakit?

1. APada bila-bila masa sepanjang hari, kerana ia tidak membezakan
2. BSejurus selepas dos pagi
3. C1 jam selepas dos terakhir
4. DKira-kira 12 jam selepas dos terakhir

Seorang pesakit bertukar daripada MAOI kepada SSRI. Apakah yang penting?

1. AMulakan SSRI pada hari yang sama
2. BAmbil kedua-dua ubat bersama selama sebulan
3. CGandakan dos SSRI pada permulaan
4. DTempoh pembersihan (washout) kira-kira 2 minggu sebelum memulakan SSRI

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. ATreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
2. BGive her a lot of extra attention for the rest of the day
3. CScold her for breaking the ward rules and remove all her privileges
4. DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. AReassure him that young people do not have heart problems
2. BLet him rest, because the pain will pass when the drug wears off
3. CTreat it as a possible heart attack, with an urgent ECG and medical review
4. DGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer

A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?

1. ABipolar I disorder
2. BSchizophrenia
3. CSchizophreniform disorder
4. DDelusional disorder