Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

What is the main aim of motivational interviewing?

1. ATo frighten the person with the worst possible health consequences of their drinking
2. BTo tell the person exactly what they must do to recover
3. CTo confront the person firmly until they admit they have a problem
4. DTo help the person explore and resolve their mixed feelings about change

What is systematic desensitisation?

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

What is Russell's sign, seen in some patients with eating disorders?

1. ASwelling of the ankles and feet during the first days of refeeding in hospital
2. BCalluses or scars on the back of the hand from inducing vomiting
3. CFine, downy hair growing on the face and back
4. DYellowing of the skin from eating a lot of carrots

Mengapakah "kontrak tidak membunuh diri" tidak disyorkan sebagai langkah keselamatan?

1. ATiada bukti bahawa ia mencegah bunuh diri, dan ia boleh memberi jaminan palsu
2. BIa haram di mana-mana sahaja
3. CIa hanya untuk kanak-kanak
4. DIa terlalu panjang dan rumit untuk dibaca oleh kebanyakan pesakit, maka sedikit pesakit menandatanganinya

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
2. BLeave him alone in a dark room so that he can sleep it off
3. CArgue with him that what he sees is not real until he accepts it
4. DShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I can take any cold and flu remedy from the pharmacy."
2. B"A sudden severe headache is a reason to get help straight away."
3. C"I'll avoid aged cheese and cured meats."
4. D"I'll tell any new doctor or dentist that I take an MAOI."

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

An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?

1. AA neurocognitive disorder such as Alzheimer's disease
2. BBrief psychotic disorder in later life
3. CNormal ageing with mild forgetfulness
4. DDelirium