Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Apakah maksud prinsip "alternatif paling kurang menyekat" dalam penjagaan kesihatan mental?

1. APesakit tidak boleh sekali-kali disekat dalam apa jua cara, walaupun ada risiko serius kepada diri sendiri atau orang lain
2. BPenjagaan patut menyekat kebebasan pesakit sekecil mungkin sambil memastikan pesakit dan orang lain selamat
3. CKekangan patut menjadi langkah pertama yang digunakan
4. DSemua pesakit mesti dimasukkan ke wad berkunci

For which patients is clozapine mainly used?

1. APatients with schizophrenia that has not responded to two other antipsychotics
2. BOlder patients with dementia who become agitated and restless in the evening
3. CPatients having their very first episode of mild psychosis
4. DPatients with mild anxiety who need a short-term sedative

What is systematic desensitisation?

1. AA medicine that reduces anxiety within minutes of being taken
2. BTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
3. CGradual exposure to a feared situation, step by step, while using relaxation
4. DSudden and prolonged exposure to the most feared situation at once

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. AHide the medicine in his drink without telling him
2. BPlace him in seclusion and then decide about medicine later
3. COffer the oral medicine first, before considering an injection
4. DGive an intramuscular injection at once without offering any choice

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

How should a patient take sublingual buprenorphine-naloxone tablets?

1. AChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
2. BSwallow the tablet whole with a large glass of water
3. CCrush the tablet and mix it with a spoonful of soft food such as yoghurt
4. DLet the tablet dissolve completely under the tongue without chewing or swallowing it

Two days after surgery, a 79-year-old woman is quiet and drowsy, stares into space and gives muddled answers that vary through the day. Her daughter says she was sharp before. What is most likely?

1. AAdvanced dementia
2. BHypoactive delirium
3. CNormal tiredness after anaesthesia
4. DDepression after surgery

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. ARefuse to give it, because she might become dependent
2. BGive her a placebo tablet instead, without telling her, to see whether she really needs it
3. CAssess her anxiety each time, offer other coping strategies and give it if indicated
4. DAlways give it as soon as she asks, without assessment