Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?

1. APerception
2. BJudgement
3. COrientation
4. DRecent memory

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 used often to build friendship with the patient
3. CIt should be brief, rare and used only to help the patient
4. DIt is never allowed in any situation

How does binge-eating disorder differ from bulimia nervosa?

1. ABinges happen only once a year, so they are not a problem
2. BThere are no regular compensatory behaviours, such as vomiting or laxative use
3. CThe person never feels a loss of control while eating
4. DThe person always has a very low body weight and a fear of gaining weight

A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?

1. AIllness anxiety disorder
2. BConversion disorder
3. CFactitious disorder
4. DSomatic symptom disorder

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

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

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"The man will go away if you ignore him."
2. B"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
3. C"What does the man in the corner look like?"
4. D"I don't see anyone in the corner, but I know it seems real to you."

Sejurus selepas rawatan ECT, seorang pesakit mengantuk di kawasan pemulihan. Apakah keutamaan kejururawatan?

1. AMeminta pesakit berjalan pulang ke wad sendirian
2. BMemberi sarapan besar serta-merta
3. CMenguji ingatan jangka panjang pesakit secara terperinci untuk memeriksa sebarang kerosakan berkekalan
4. DMengekalkan saluran udara, meletakkan pesakit mengiring dan memantau tanda vital

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