Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

What are the core features of attention-deficit hyperactivity disorder (ADHD)?

1. AInattention, hyperactivity and impulsivity
2. BObsessions, compulsions and repeated checking
3. CLow mood, loss of interest and poor sleep
4. DDelusions, hallucinations and disorganised speech

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. AReaction formation
2. BIntellectualisation
3. CDisplacement
4. DRegression

Mengapakah jururawat biasanya patut mengelak bertanya soalan "mengapa" kepada pesakit, seperti "Mengapa anda berbuat begitu?"

1. AIa memendekkan penilaian
2. BIa boleh membuat pesakit berasa dihakimi dan bertahan
3. CIa sentiasa bertentangan dengan undang-undang
4. DIa terlalu terbuka

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. ALow mood after the loss of a partner is always normal grief and never needs any assessment
2. BOlder adults cannot be treated for depression
3. CDepression in older adults can look like dementia and is treatable
4. DMemory complaints in older adults are always caused by dementia

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. ASerotonin syndrome
2. BAgranulocytosis
3. CHypothyroidism
4. DHyperthyroidism

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. AValproate makes lamotrigine work faster, so the dose must be increased quickly
2. BThe two drugs together cause severe hair growth
3. CLamotrigine will lower the valproate level until it has no effect
4. DValproate raises lamotrigine levels, which increases the risk of a serious rash

Seorang pesakit meminta jururawat berjanji tidak memberitahu sesiapa bahawa dia merancang untuk membunuh diri. Apakah respons yang terbaik?

1. AMenukar topik
2. BBerjanji untuk menyimpan rahsia supaya dia terus bercakap dan mempercayai anda, dan jangan merekodkannya dalam notanya atau memberitahu pasukan
3. CTerangkan dengan baik bahawa anda tidak dapat menyimpan rahsia ini kerana keselamatannya penting, dan anda perlu berkongsinya dengan pasukan
4. DMemberitahunya anda akan memikirkannya

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. ADrink a small glass of wine or beer before bed to help him fall asleep
2. BDiscuss with the prescriber whether he can take it in the morning instead
3. CTake a double dose at night to make him sleepy
4. DStop the fluoxetine at once and tell the prescriber at his next appointment