Hormati hak pasien: pilihan yang paling tidak membatasi, persetujuan, dan kerahasiaan beserta batasnya.
2Soal latihan
1.Keperawatan jiwaSedang
In family systems theory, what is meant by the "identified patient"?
AThe member whose symptoms are seen as the family's problem
BThe family member who has the most serious physical illness
CThe patient whose identity has been checked against a wristband before treatment
DThe family member who pays for the treatment
2.Keperawatan jiwaSulit
A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?
AIllness anxiety disorder
BDelusional disorder, jealous type
CBody dysmorphic disorder
DAnorexia nervosa
3.Psikologi klinisSedang
Perbedaan utama antara gangguan buatan (factitious disorder) dan malingering adalah bahwa pada malingering:
AOrang itu berusaha mengambil peran sakit itu sendiri, tanpa keuntungan eksternal yang jelas
BOrang itu benar-benar memiliki penyakit fisik
CGejala dihasilkan secara tidak sadar tanpa niat apa pun
DGejala dipalsukan demi imbalan eksternal yang jelas, seperti uang atau menghindari pekerjaan
4.Psikologi klinisSulit
Seorang tentara mengalami PTSD sementara sebagian besar rekannya yang terpapar pertempuran yang sama tidak. Model mana yang paling tepat menjelaskan perbedaan ini?
AModel kelangkaan statistik
BModel token economy
CModel diatesis–stres
DModel medis infeksi
5.FarmakologiSedang
During an oxytocin infusion, contractions become very frequent and the fetal heart rate shows late decelerations. What is the nurse's first action?
AIncrease the infusion to finish labour quickly
BStop the oxytocin infusion
CPosition the woman flat on her back
DGive a second oxytocin bolus
6.FarmakologiSulit
Why must several weeks pass before starting an MAO inhibitor after stopping fluoxetine?
AFluoxetine must first be converted into an MAO inhibitor
BFluoxetine permanently and irreversibly blocks MAO enzymes
CMAO inhibitors are absorbed only after fluoxetine is gone
DFluoxetine and its active metabolite have very long half-lives
3Larutan
1.Keperawatan jiwa
Jawaban: A · The member whose symptoms are seen as the family's problem
Mengapa ini jawabannya
Family systems theory sees the family as a unit in which each member affects the others. The "identified patient" carries the symptoms, but the therapy looks at patterns in the whole family.
Jawaban
A · The member whose symptoms are seen as the family's problem
2.Keperawatan jiwa
Jawaban: C · Body dysmorphic disorder
Mengapa ini jawabannya
Body dysmorphic disorder is a preoccupation with perceived defects in appearance, with repetitive behaviours such as mirror checking or seeking reassurance. It is related to OCD, and cosmetic surgery rarely relieves it.
Jawaban
C · Body dysmorphic disorder
3.Psikologi klinis
Jawaban: D · Gejala dipalsukan demi imbalan eksternal yang jelas, seperti uang atau menghindari pekerjaan
Mengapa ini jawabannya
Keduanya melibatkan pemalsuan yang disengaja. Pada gangguan buatan motifnya adalah ingin dipandang sakit tanpa imbalan eksternal yang jelas; pada malingering ada insentif eksternal yang jelas. Malingering bukan gangguan mental dalam DSM-5.
Jawaban
D · Gejala dipalsukan demi imbalan eksternal yang jelas, seperti uang atau menghindari pekerjaan
4.Psikologi klinis
Jawaban: C · Model diatesis–stres
Mengapa ini jawabannya
Model diatesis–stres menyatakan bahwa stresor menyebabkan gangguan terutama pada orang yang sudah memiliki kerentanan, seperti risiko genetik, trauma sebelumnya, atau dukungan sosial yang buruk.
Jawaban
C · Model diatesis–stres
5.Farmakologi
Jawaban: B · Stop the oxytocin infusion
Mengapa ini jawabannya
Excessive contractions reduce placental blood flow and cause fetal distress. The oxytocin is stopped first, then the woman is turned on her side, IV fluids and oxygen are given as per protocol and the provider is informed.
Jawaban
B · Stop the oxytocin infusion
6.Farmakologi
Jawaban: D · Fluoxetine and its active metabolite have very long half-lives
Mengapa ini jawabannya
Norfluoxetine, the active metabolite of fluoxetine, stays in the body for weeks. A long washout is needed before an MAOI to avoid serotonin syndrome.
Jawaban
D · Fluoxetine and its active metabolite have very long half-lives