Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Mengapakah tiamina (vitamin B1) diberikan kepada pesakit dengan ketagihan alkohol?

1. AUntuk merawat sirosis hati
2. BUntuk mencegah atau merawat ensefalopati Wernicke
3. CUntuk mengurangkan keinginan terhadap alkohol
4. DUntuk menjadikan rasa alkohol tidak menyenangkan

What is the main focus of the recovery model in mental health care?

1. AHope, self-determination and living a meaningful life, even if some symptoms continue
2. BComplete removal of all symptoms before the person can start to build a good and meaningful life
3. CLong-term hospital care for everyone with serious mental illness
4. DProfessionals making all decisions for patients for their own good

Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?

1. ABeing easily startled by loud noises
2. BFeeling detached from family and friends
3. CAvoiding places that remind the person of the event
4. DFlashbacks of the traumatic event

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. AThat the patient needs to be transferred to another unit
2. BTransference by the patient towards the nurse, which is never the nurse's concern
3. CAn ideal therapeutic relationship
4. DPossible boundary problems that she should discuss in supervision

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
2. BThe combination is completely safe because they act on different systems
3. CIbuprofen will make the sertraline work faster
4. DIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction

Kumpulan dapatan manakah yang mencadangkan sindrom malignan neuroleptik?

1. AGegaran halus dan peningkatan dahaga
2. BHiperrefleksia, klonus, cirit-birit, anak mata yang melebar dan kegelisahan dalam masa beberapa jam selepas ubat serotonergik baharu
3. CPertambahan berat badan dan glukosa darah meningkat
4. DDemam tinggi, kekakuan otot "paip plumbum" yang teruk, kekeliruan, tekanan darah tidak stabil dan CK yang meningkat

Pada hari kedua selepas minuman terakhirnya, seorang pesakit mengalami gegaran yang ketara, melihat serangga di dinding, kadar denyutan jantung 124/min, tekanan darah 170/100 mmHg dan berpeluh banyak. Apakah keutamaannya?

1. ATerangkan bahawa serangga itu tidak nyata dan biarkan dia berehat
2. BRawat sebagai kemungkinan delirium tremens: dapatkan bantuan perubatan segera, beri benzodiazepin seperti yang ditetapkan dan pastikan dia selamat
3. CHadkan pengambilan cecairnya
4. DBeri sedikit alkohol kepadanya untuk menenangkan gejala, kemudian biarkan dia tidur di bilik sisi yang tenang dengan pintu ditutup

An older patient receiving haloperidol for agitation has an episode of fainting and palpitations. Which test does the nurse expect to be ordered first?

1. AAn ECG to look for a prolonged QT interval
2. BA liver function test
3. CA white blood cell count with differential
4. DA serum lithium level