Hormati hak pasien: pilihan yang paling tidak membatasi, persetujuan, dan kerahasiaan beserta batasnya.
2Soal latihan
1.Keperawatan jiwaSedang
Which action reflects trauma-informed care?
AMaking all decisions for the patient so that she does not feel burdened
BExplaining each procedure in advance and offering choices wherever possible
CAsking the patient to repeat the full trauma story to each new staff member
DUsing physical restraint early to prevent any loss of control
2.Keperawatan jiwaSulit
A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?
ASay nothing, because one dose will not cause harm
BFill in an incident report before checking the patient
CGive the patient his own prescribed medicine as well, to stay on schedule
DAssess the patient, including his vital signs and level of sedation
3.Psikologi klinisSedang
Menurut kewajiban yang ditetapkan dalam kasus Tarasoff di California, seorang terapis mungkin perlu:
AMengambil langkah untuk melindungi orang yang dapat diidentifikasi yang diancam secara serius oleh klien
BMenolak menangani klien dengan riwayat kekerasan
CMelaporkan setiap klien yang mengungkapkan kemarahan
DMenjaga kerahasiaan semua informasi dalam keadaan apa pun, apa pun risikonya bagi orang lain
4.Psikologi klinisSulit
Makan berlebihan (binge) pada seorang klien terjadi setidaknya seminggu sekali selama tiga bulan, dengan kehilangan kendali dan tekanan, tetapi tanpa muntah, laksatif, atau olahraga berlebihan. Diagnosis mana yang sesuai?
Why should a patient rinse the mouth after using an inhaled corticosteroid?
ATo reduce the risk of oral thrush (candidiasis) and hoarseness
BTo stop the drug being absorbed too quickly into the blood
CTo make the drug work faster in the lungs
DTo prevent a fall in blood glucose
6.FarmakologiSulit
A patient who used heroin a few hours ago is given a first dose of buprenorphine and quickly develops severe withdrawal. Why?
ABuprenorphine causes an allergic reaction in heroin users
BBuprenorphine is a high-affinity partial agonist that displaces heroin
CBuprenorphine is a pure antagonist like naloxone with no agonist effect
DBuprenorphine has no effect at opioid receptors
3Larutan
1.Keperawatan jiwa
Jawaban: B · Explaining each procedure in advance and offering choices wherever possible
Mengapa ini jawabannya
Trauma-informed care assumes that many patients have trauma histories. It focuses on safety, trust, choice and collaboration, and on avoiding practices that can re-traumatise, such as unnecessary restraint.
Jawaban
B · Explaining each procedure in advance and offering choices wherever possible
2.Keperawatan jiwa
Jawaban: D · Assess the patient, including his vital signs and level of sedation
Mengapa ini jawabannya
After a medicine error, the first step is to assess and monitor the patient for any effects. The nurse then informs the prescriber and the nurse in charge, follows instructions, documents and reports the incident.
Jawaban
D · Assess the patient, including his vital signs and level of sedation
3.Psikologi klinis
Jawaban: A · Mengambil langkah untuk melindungi orang yang dapat diidentifikasi yang diancam secara serius oleh klien
Mengapa ini jawabannya
Putusan Tarasoff menyatakan bahwa ketika klien menimbulkan bahaya kekerasan yang serius terhadap korban yang dapat diidentifikasi, terapis berkewajiban mengambil langkah wajar untuk melindungi orang tersebut.
Jawaban
A · Mengambil langkah untuk melindungi orang yang dapat diidentifikasi yang diancam secara serius oleh klien
4.Psikologi klinis
Jawaban: C · Gangguan makan berlebihan (binge-eating disorder)
Mengapa ini jawabannya
Gangguan makan berlebihan melibatkan episode binge berulang dengan tekanan tetapi tanpa perilaku kompensasi yang rutin. Bulimia mensyaratkan perilaku kompensasi, dan anoreksia mensyaratkan berat badan yang sangat rendah.
Jawaban
C · Gangguan makan berlebihan (binge-eating disorder)
5.Farmakologi
Jawaban: A · To reduce the risk of oral thrush (candidiasis) and hoarseness
Mengapa ini jawabannya
Steroid left in the mouth and throat suppresses local immunity and can cause candidiasis and a hoarse voice. Rinsing and spitting, and using a spacer, reduce this risk.
Jawaban
A · To reduce the risk of oral thrush (candidiasis) and hoarseness
6.Farmakologi
Jawaban: B · Buprenorphine is a high-affinity partial agonist that displaces heroin
Mengapa ini jawabannya
Buprenorphine binds mu receptors more strongly than heroin but activates them less, so it can precipitate withdrawal. Induction is started when the patient already has mild to moderate withdrawal signs.
Jawaban
B · Buprenorphine is a high-affinity partial agonist that displaces heroin