Hormati hak pasien: pilihan yang paling tidak membatasi, persetujuan, dan kerahasiaan beserta batasnya.
2Soal latihan
1.Keperawatan jiwaSedang
Which finding in a patient with anorexia nervosa is most concerning?
AConstipation for the past few days
BDry skin and brittle hair
CFeeling cold in a warm room
DA resting heart rate of 38/min
2.Keperawatan jiwaSulit
For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?
APanic disorder
BAcute stress disorder after a recent trauma
CSpecific phobia
DGeneralised anxiety disorder
3.Psikologi klinisSedang
Selective serotonin reuptake inhibitor (SSRI) meningkatkan serotonin di sinaps dengan cara:
AMenghancurkan reseptor serotonin
BMempercepat pemecahan serotonin oleh enzim monoamin oksidase
CMenghambat pengambilan kembali serotonin ke neuron prasinaps
DMenghambat pelepasan dopamin
4.Psikologi klinisSulit
Seorang pria melaporkan lengan kirinya lumpuh setelah pertengkaran hebat, tetapi pemeriksaan neurologis menunjukkan temuan yang tidak sesuai dengan penyakit neurologis apa pun yang dikenal. Diagnosis DSM-5 mana yang paling mungkin?
A malnourished patient with alcohol dependence needs IV glucose. Which vitamin should be given before or with it?
AVitamin C
BVitamin K (phytomenadione)
CThiamine (vitamin B1)
DVitamin D
6.FarmakologiSulit
A nurse calculates a child's dose and finds it is ten times higher than the usual range in the drug reference. What should the nurse do?
AGive one tenth of the dose without telling anyone
BWithhold it, recheck the calculation and clarify with the prescriber
CGive half the dose as a compromise
DGive the dose, because the prescriber is responsible for the order
3Larutan
1.Keperawatan jiwa
Jawaban: D · A resting heart rate of 38/min
Mengapa ini jawabannya
Severe bradycardia suggests cardiovascular compromise from starvation and can lead to dangerous arrhythmias. It is a common reason for urgent medical admission.
Jawaban
D · A resting heart rate of 38/min
2.Keperawatan jiwa
Jawaban: D · Generalised anxiety disorder
Mengapa ini jawabannya
Generalised anxiety disorder is ongoing, excessive worry about many things for at least 6 months. Panic disorder involves recurrent, unexpected panic attacks and worry about having more.
Jawaban
D · Generalised anxiety disorder
3.Psikologi klinis
Jawaban: C · Menghambat pengambilan kembali serotonin ke neuron prasinaps
Mengapa ini jawabannya
SSRI menghambat transporter serotonin sehingga serotonin bertahan lebih lama di celah sinaps. Efek klinis biasanya memerlukan beberapa minggu.
Jawaban
C · Menghambat pengambilan kembali serotonin ke neuron prasinaps
4.Psikologi klinis
Jawaban: A · Gangguan gejala neurologis fungsional (gangguan konversi)
Mengapa ini jawabannya
Gangguan gejala neurologis fungsional melibatkan gejala motorik atau sensorik yang tidak sesuai dengan kondisi neurologis yang dikenal. Diagnosis ini tidak memerlukan bukti penyebab psikologis atau bukti bahwa gejalanya dipalsukan.
Jawaban
A · Gangguan gejala neurologis fungsional (gangguan konversi)
5.Farmakologi
Jawaban: C · Thiamine (vitamin B1)
Mengapa ini jawabannya
Giving glucose without thiamine to a thiamine-deficient patient can trigger or worsen Wernicke's encephalopathy. Thiamine is therefore given before or alongside glucose.
Jawaban
C · Thiamine (vitamin B1)
6.Farmakologi
Jawaban: B · Withhold it, recheck the calculation and clarify with the prescriber
Mengapa ini jawabannya
Doses outside the safe range must be questioned before administration. The nurse holds the dose, rechecks the weight and calculation and contacts the prescriber or pharmacist.
Jawaban
B · Withhold it, recheck the calculation and clarify with the prescriber