Lembaran kerja Kejururawatan kesihatan mental dengan jawapan

Seseorang yang mempunyai perasaan permusuhan yang kuat terhadap jirannya bersikap terlalu mesra dan pemurah kepadanya. Mekanisme pertahanan manakah ini?

1. APembentukan reaksi
2. BKompensasi
3. CAnjakan
4. DPenafian

Mekanisme pertahanan manakah yang dianggap sihat dan matang?

1. APemecahan: melihat orang sebagai semuanya baik atau semuanya buruk
2. BSublimasi: menyalurkan perasaan agresif ke dalam sukan
3. CPenafian: enggan menerima diagnosis selama berbulan-bulan
4. DUnjuran: menyalahkan orang lain atas perasaan sendiri

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. AVoicing doubt
2. BGiving advice
3. CSummarising
4. DRestating

How does aripiprazole differ from most other antipsychotics?

1. AIt is a benzodiazepine with antipsychotic effects
2. BIt needs weekly white blood cell counts for safety
3. CIt has no effect on dopamine at all
4. DIt is a partial agonist at dopamine D₂ receptors

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

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

A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?

1. ATransference
2. BDiagnostic overshadowing
3. CSplitting by the patient
4. DPositive reinforcement

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt is acceptable, because it will make the ward quieter and safer for the other patients
2. BIt is acceptable as long as the seclusion lasts for less than an hour
3. CIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
4. DIt is acceptable as long as the patient agrees afterwards

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
2. BWait for the next routine score in four hours before deciding
3. CEncourage him to drink a large glass of wine to settle the symptoms
4. DReduce monitoring, because a higher score on this scale means that his withdrawal is improving