Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Gejala manakah yang merupakan tanda awal ketoksikan litium?

1. AGatal dan ruam
2. BPertambahan berat badan dan mulut kering sahaja
3. CTekanan darah tinggi, muka merah dan sakit kepala yang teruk
4. DLoya, muntah, cirit-birit dan gegaran kasar

Apakah perbezaan antara penindasan (suppression) dan represi (repression)?

1. APenindasan adalah tidak sedar; represi adalah sedar
2. BPenindasan adalah sedar; represi adalah tidak sedar
3. CKedua-duanya ialah tanda psikosis
4. DKedua-duanya sentiasa sedar

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

1. ANeologism
2. BConfabulation
3. CEchopraxia
4. DEcholalia

Which risk applies when antipsychotics are used in older people with dementia?

1. AA lower risk of falls than with no medicine at all
2. BAn increased risk of stroke and death
3. CImproved memory within a few days
4. DA guaranteed cure of the dementia

Kumpulan dapatan manakah yang mencadangkan sindrom malignan neuroleptik?

1. ADemam tinggi, kekakuan otot "paip plumbum" yang teruk, kekeliruan, tekanan darah tidak stabil dan CK yang meningkat
2. BHiperrefleksia, klonus, cirit-birit, anak mata yang melebar dan kegelisahan dalam masa beberapa jam selepas ubat serotonergik baharu
3. CGegaran halus dan peningkatan dahaga
4. DPertambahan berat badan dan glukosa darah meningkat

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
2. BIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
3. CIbuprofen will make the sertraline work faster
4. DThe combination is completely safe because they act on different systems

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
2. BThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
3. CHaloperidol does not work in older patients at all
4. DHaloperidol will make his hallucinations more frequent

A nurse teaches a family member how to use a naloxone kit. Which statement shows a need for further teaching?

1. A"Once I've given the naloxone, I don't need to call an ambulance."
2. B"I'll stay with him, because the overdose can come back."
3. C"If he doesn't respond, I may need to give a second dose."
4. D"I'll check his breathing and put him in the recovery position if he is breathing but still not awake."