Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Which sequence describes the cycle of violence often seen in intimate partner abuse?

1. AReconciliation, acute violence, then tension-building with no further violence
2. BAcute violence, then permanent separation of the partners
3. CTension-building, acute violence, then reconciliation (the "honeymoon" phase)
4. DTension-building, then a calm phase that lasts for the rest of the relationship

Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?

1. AExcessive hunger
2. BSexual dysfunction
3. CSevere constipation
4. DHair loss

Asked how she slept, a patient describes her evening meal, a television programme and a phone call from her sister in great detail, and finally says that she slept badly. What is this called?

1. ACircumstantiality
2. BThought blocking
3. CTangentiality
4. DPerseveration

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"That would be against the rules, so please stop asking about it."
2. B"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
3. C"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
4. D"Of course, as long as you don't tell the other patients."

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIt has no effects at all in people over 80, so it will not help her sleep
2. BIt is a strong opioid that causes severe dependence
3. CIt raises blood pressure to dangerous levels in older adults
4. DIts anticholinergic effects can cause confusion, urine retention and falls

How does obsessive-compulsive personality disorder differ from obsessive-compulsive disorder?

1. AIt always involves repeated hand washing and checking rituals
2. BIt starts suddenly in later life after a stressful event and goes away on its own within a few months
3. CPeople with it always feel that their behaviour is senseless and unwanted
4. DIt is a lasting pattern of perfectionism and control without true obsessions and compulsions

A woman arrives in the emergency department after a sexual assault and has a cut on her head that is bleeding. What is the priority?

1. AAsk her for a detailed account of the assault before any care
2. BCall the police and wait until they arrive before doing anything else, so that no evidence is lost by mistake
3. CCollect forensic evidence before treating any injuries
4. DAssess and treat her physical injuries, then offer forensic examination with her consent

A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?

1. AArrange for the whole house to be cleared while she is out
2. BWork with her to clear the exits first, then agree a gradual plan together
3. CIgnore the clutter, because it is her own home
4. DTell her that she will be evicted unless everything is thrown away today