Keperawatan Jiwa: paket kilat

Lembar rumus, langkah-langkah metode utama untuk setiap topik, dan 6 soal latihan, dengan pembahasan lengkap di bagian belakang.

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1Rumus dan metode

Keperawatan jiwa

Metode

  1. Tentukan apakah ada risiko yang mengancam saat ini: bunuh diri, kekerasan, kegawatan akibat obat, atau penyakit fisik.
  2. Bertindak untuk keselamatan lebih dulu: observasi, singkirkan sarana yang berbahaya, lakukan deeskalasi, hentikan obat yang merugikan, minta bantuan.
  3. Pilih respons terapeutik: akui perasaan, sampaikan kenyataan, hindari penghiburan palsu dan pertanyaan “mengapa”.
  4. Hormati hak pasien: pilihan yang paling tidak membatasi, persetujuan, dan kerahasiaan beserta batasnya.

2Soal latihan

1.Keperawatan jiwaSedang

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

  1. AExplain that it is a sign of an allergic reaction to the medicine
  2. BStop the clozapine immediately, because this is a sign of agranulocytosis
  3. CRecognise it as a common side effect, report it and suggest a towel on the pillow
  4. DTell him that it means the clozapine dose is too low and needs to be increased
2.Keperawatan jiwaSulit

A patient in a mental health unit asks to read his own health records. What is the correct general principle?

  1. APatients generally have a right of access, with limited exceptions to prevent serious harm
  2. BPsychiatric patients are never allowed to see their records
  3. COnly his family can request access to his records on his behalf
  4. DThe nurse should give him the records immediately without following any procedure
3.Psikologi klinisSedang

Kriteria abnormalitas mana yang menilai perilaku sebagai abnormal ketika perilaku itu jarang dalam populasi?

  1. APenyimpangan dari kesehatan mental ideal
  2. BPenyimpangan dari norma sosial
  3. CKegagalan berfungsi secara memadai
  4. DKelangkaan statistik (statistical infrequency)
4.Psikologi klinisSulit

Seorang pria mengatakan bahwa seorang penyanyi terkenal diam-diam jatuh cinta kepadanya dan mengirim pesan rahasia melalui lagu-lagunya. Di luar itu, pikiran dan perilakunya normal, tanpa halusinasi. Diagnosis mana yang paling sesuai?

  1. AGangguan bipolar dengan mania
  2. BGangguan waham, tipe erotomanik
  3. CGangguan kepribadian narsistik
  4. DSkizofrenia, tipe paranoid
5.FarmakologiSedang

How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?

  1. AIn the original dark glass bottle, away from heat, light and moisture
  2. BLoose in a shirt pocket close to the body for quick access
  3. CIn a plastic weekly pill box with other tablets
  4. DIn the fridge in a damp, open container to keep them fresh and cool
6.FarmakologiSulit

How does levonorgestrel emergency contraception mainly work?

  1. AIt delays or prevents ovulation
  2. BIt ends an established pregnancy
  3. CIt causes an immediate period
  4. DIt kills sperm in the vagina

3Larutan

1.Keperawatan jiwa

Jawaban: C · Recognise it as a common side effect, report it and suggest a towel on the pillow

Mengapa ini jawabannya

Hypersalivation is a common, unpleasant effect of clozapine, often worse at night. It can be embarrassing and affect adherence, so it is reported; treatments are available, and the nurse also watches for aspiration risk.

Jawaban

C · Recognise it as a common side effect, report it and suggest a towel on the pillow
2.Keperawatan jiwa

Jawaban: A · Patients generally have a right of access, with limited exceptions to prevent serious harm

Mengapa ini jawabannya

Data protection and health records laws in many countries give patients a right to access their records. Requests follow a formal procedure, and information may be withheld only in limited cases, for example if it could cause serious harm.

Jawaban

A · Patients generally have a right of access, with limited exceptions to prevent serious harm
3.Psikologi klinis

Jawaban: D · Kelangkaan statistik (statistical infrequency)

Mengapa ini jawabannya

Kelangkaan statistik mendefinisikan abnormalitas sebagai perilaku yang jauh dari rata-rata. Kelemahannya, beberapa sifat langka, seperti IQ yang sangat tinggi, justru diinginkan.

Jawaban

D · Kelangkaan statistik (statistical infrequency)
4.Psikologi klinis

Jawaban: B · Gangguan waham, tipe erotomanik

Mengapa ini jawabannya

Gangguan waham melibatkan satu atau lebih waham selama setidaknya sebulan tanpa memenuhi kriteria skizofrenia, dan fungsi tidak terganggu secara nyata selain wahamnya. Waham erotomanik menyangkut orang lain yang jatuh cinta kepada pasien.

Jawaban

B · Gangguan waham, tipe erotomanik
5.Farmakologi

Jawaban: A · In the original dark glass bottle, away from heat, light and moisture

Mengapa ini jawabannya

Nitroglycerin tablets lose potency when exposed to light, heat, air and moisture. They are kept in their original tightly closed dark container, and expired tablets are replaced.

Jawaban

A · In the original dark glass bottle, away from heat, light and moisture
6.Farmakologi

Jawaban: A · It delays or prevents ovulation

Mengapa ini jawabannya

Levonorgestrel emergency contraception mainly prevents or delays ovulation and does not disrupt an implanted pregnancy. Its effectiveness falls the longer it is delayed after unprotected sex.

Jawaban

A · It delays or prevents ovulation

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