Hormati hak pasien: pilihan yang paling tidak membatasi, persetujuan, dan kerahasiaan beserta batasnya.
2Soal latihan
1.Keperawatan jiwaSedang
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
ANihilistic
BPersecutory
CErotomanic
DGrandiose
2.Keperawatan jiwaSulit
A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?
AIt is not relevant, because naltrexone only affects the way the body responds to alcohol
BNaltrexone makes opioids much stronger, so smaller doses must be used
CNaltrexone causes broken bones to heal more slowly
DNaltrexone blocks opioid analgesics, so pain relief needs to be planned differently
3.Psikologi klinisSedang
Seseorang menghabiskan berjam-jam setiap hari mengkhawatirkan bahwa noda kecil di hidungnya jelek, terus-menerus bercermin, padahal orang lain tidak melihat ada yang salah. Diagnosis mana yang sesuai?
AAnoreksia nervosa
BGangguan kecemasan penyakit
CGangguan kecemasan sosial
DGangguan dismorfik tubuh
4.Psikologi klinisSulit
Ketidakberdayaan yang dipelajari (Seligman) diusulkan sebagai model untuk:
ADepresi
BGangguan spektrum autisme
CSkizofrenia
DFobia spesifik
5.FarmakologiSedang
Which technique is correct when giving subcutaneous enoxaparin from a prefilled syringe?
AExpel the air bubble from the syringe first, then inject into the deltoid muscle
BInject into a vein on the back of the hand
CInject into the abdomen away from the navel and do not rub the site afterwards
DMassage the site well for one minute after the injection
6.FarmakologiSulit
A patient with latent tuberculosis feels well and is not infectious. Why is treatment such as isoniazid still offered?
ATo stop the patient spreading TB at the moment
BTo prevent progression to active TB later
CTo cure an active lung infection
DTo produce a negative skin test quickly
3Larutan
1.Keperawatan jiwa
Jawaban: A · Nihilistic
Mengapa ini jawabannya
Nihilistic delusions are beliefs that the self, the body or the world does not exist or has been destroyed. They can occur in psychotic depression and require urgent assessment, including of nutrition and suicide risk.
Jawaban
A · Nihilistic
2.Keperawatan jiwa
Jawaban: D · Naltrexone blocks opioid analgesics, so pain relief needs to be planned differently
Mengapa ini jawabannya
Naltrexone blocks opioid receptors, so usual opioid doses may not work, and attempts to overcome the block with high doses can be dangerous. The team needs to know so that analgesia can be planned safely.
Jawaban
D · Naltrexone blocks opioid analgesics, so pain relief needs to be planned differently
3.Psikologi klinis
Jawaban: D · Gangguan dismorfik tubuh
Mengapa ini jawabannya
Gangguan dismorfik tubuh adalah preokupasi terhadap kekurangan penampilan yang dipersepsikan, yang sebenarnya ringan atau tidak terlihat, disertai perilaku berulang seperti bercermin atau mencari penegasan.
Jawaban
D · Gangguan dismorfik tubuh
4.Psikologi klinis
Jawaban: A · Depresi
Mengapa ini jawabannya
Setelah peristiwa tidak menyenangkan yang tidak dapat dikendalikan, hewan dan manusia dapat berhenti mencoba bahkan ketika melarikan diri menjadi mungkin, mirip dengan pasivitas dan keputusasaan pada depresi.
Jawaban
A · Depresi
5.Farmakologi
Jawaban: C · Inject into the abdomen away from the navel and do not rub the site afterwards
Mengapa ini jawabannya
Enoxaparin is given deep subcutaneously, usually in the abdomen at least 5 cm from the umbilicus. The air bubble in the prefilled syringe is not expelled, and rubbing the site increases bruising.
Jawaban
C · Inject into the abdomen away from the navel and do not rub the site afterwards
6.Farmakologi
Jawaban: B · To prevent progression to active TB later
Mengapa ini jawabannya
People with latent TB carry dormant bacteria that can reactivate, especially if immunity weakens. Treatment reduces the risk of active disease, which would be infectious.