Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Seseorang yang mempunyai perasaan permusuhan yang kuat terhadap jirannya bersikap terlalu mesra dan pemurah kepadanya. Mekanisme pertahanan manakah ini?

1. AAnjakan
2. BPenafian
3. CKompensasi
4. DPembentukan reaksi

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

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

Which statement about self-disclosure by the nurse is correct?

1. AIt is helpful when the nurse shares personal problems in detail
2. BIt should be brief, rare and used only to help the patient
3. CIt is never allowed in any situation
4. DIt should be used often to build friendship with the patient

How does aripiprazole differ from most other antipsychotics?

1. AIt has no effect on dopamine at all
2. BIt is a partial agonist at dopamine D₂ receptors
3. CIt needs weekly white blood cell counts for safety
4. DIt is a benzodiazepine with antipsychotic effects

What is the PHQ-9 used for?

1. AAssessing the severity of alcohol withdrawal
2. BScreening for alcohol problems
3. CScreening for depression and measuring its severity
4. DMonitoring involuntary movements caused by antipsychotics

Which information is essential when documenting the use of physical restraint?

1. AThe full names of the other patients who saw the incident
2. BThe reason for it, alternatives tried, start and end times, and the observations made
3. COnly the time the restraint started and the name of the nurse in charge of the shift
4. DThe nurse's personal opinion of the patient's character and attitude

After her house burned down, a woman developed delusions and disorganised speech. Ten days later the symptoms have gone completely and she is back to normal. Which diagnosis best fits?

1. ASchizophrenia
2. BDelusional disorder
3. CBrief psychotic disorder
4. DSchizophreniform disorder

A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?

1. ADischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
2. BTell the parents that the nurse knows they are abusing the child
3. CReport the concerns through child protection procedures and ensure the child's safety
4. DAccept the parents' explanation, because babies often fall