Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?

1. AMaintenance of change
2. BPreparation
3. CContemplation
4. DPrecontemplation

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
2. BBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
3. CBipolar I involves only depression; bipolar II involves only mania
4. DBipolar II is always more severe than bipolar I

What is a safety plan in suicide prevention?

1. AA legal document in which the patient promises never to harm themselves
2. BA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
3. CA hospital rule that all patients must stay in their rooms after dark
4. DA plan that the nurse writes alone and keeps from the patient

Which item is part of a safety plan for a person experiencing domestic violence?

1. AKeeping an emergency bag with documents, money and keys somewhere safe
2. BKeeping all important documents in the shared house
3. CTelling the abuser about plans to leave so that he can prepare
4. DAvoiding contact with friends and support services so as not to provoke him

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

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

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. AEncourage him to walk around the ward and join in activities to help burn off the drug
2. BProvide a quiet, low-stimulation environment and keep staff and patient safe
3. CTry to talk the patient down by discussing his feelings in detail
4. DPut him in a busy area so that staff can watch him more easily

A patient says, "My boss didn't say hello this morning, so she must think I'm useless." Which cognitive distortion is shown, and what is a helpful nursing response?

1. AAll-or-nothing thinking; agree that the boss is being unfair
2. BCatastrophising; tell the patient that she will definitely not be fired
3. CMind reading; ask what other reasons there might be for the boss's behaviour
4. DPersonalisation; advise the patient to ask for a new manager

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AIgnore it, because weight changes in children are always normal
2. BStop the medicine immediately without telling the prescriber
3. CAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
4. DReport the finding, review his eating pattern and suggest giving the medicine after breakfast