Hormati hak pasien: pilihan yang paling tidak membatasi, persetujuan, dan kerahasiaan beserta batasnya.
2Soal latihan
1.Keperawatan jiwaSedang
How may depression present differently in adolescents than in adults?
AAlways with psychotic symptoms
BWith increased energy and less need for sleep
CWith irritability rather than obvious sadness
DWith a high fever and a rash
2.Keperawatan jiwaSulit
During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?
AAnswer briefly or decline politely, then return the focus to the patient
BEnd the session because personal questions are not allowed
CIgnore the question completely and stay silent until the patient changes the subject
DShare details about the nurse's family to build a friendship
3.Psikologi klinisSedang
Gangguan kepribadian mana yang ditandai ketidakstabilan dalam hubungan, citra diri, dan emosi, disertai impulsivitas yang nyata?
AGangguan kepribadian ambang (borderline)
BGangguan kepribadian narsistik
CGangguan kepribadian menghindar
DGangguan kepribadian skizoid
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?
AGangguan waham, tipe erotomanik
BGangguan kepribadian narsistik
CGangguan bipolar dengan mania
DSkizofrenia, tipe paranoid
5.FarmakologiSedang
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
AAn antidiarrhoeal drug at night to slow the gut
BBulk-forming fibre alone, with fluid intake restricted
CNo laxative until the patient has not opened the bowels for a week
DA stimulant laxative such as senna, often with a stool softener
6.FarmakologiSulit
How does aripiprazole differ from most other antipsychotics?
AIt is a full dopamine agonist that increases dopamine activity
BIt works by blocking the reuptake of serotonin only
CIt is a partial agonist at dopamine D2 receptors
DIt has no effect on dopamine and acts only on histamine
3Larutan
1.Keperawatan jiwa
Jawaban: C · With irritability rather than obvious sadness
Mengapa ini jawabannya
In children and adolescents, depressed mood can appear as irritability. Other signs include falling school performance, withdrawal from friends, and changes in sleep and appetite.
Jawaban
C · With irritability rather than obvious sadness
2.Keperawatan jiwa
Jawaban: A · Answer briefly or decline politely, then return the focus to the patient
Mengapa ini jawabannya
Patients often ask personal questions out of curiosity or to make the relationship more equal. A brief answer or a polite refusal, followed by redirecting to the patient's concerns, maintains boundaries without rejecting the patient.
Jawaban
A · Answer briefly or decline politely, then return the focus to the patient
3.Psikologi klinis
Jawaban: A · Gangguan kepribadian ambang (borderline)
Mengapa ini jawabannya
Gangguan kepribadian ambang melibatkan hubungan dan identitas yang tidak stabil, ketidakstabilan afek, ketakutan ditinggalkan, impulsivitas, dan melukai diri berulang. DBT adalah penanganan yang didukung bukti kuat.
Jawaban
A · Gangguan kepribadian ambang (borderline)
4.Psikologi klinis
Jawaban: A · 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
A · Gangguan waham, tipe erotomanik
5.Farmakologi
Jawaban: D · A stimulant laxative such as senna, often with a stool softener
Mengapa ini jawabannya
Opioid-induced constipation does not usually resolve with time, so a laxative is started with the opioid. Stimulant laxatives counter reduced motility; bulk-forming laxatives alone can worsen symptoms if fluid intake is low.
Jawaban
D · A stimulant laxative such as senna, often with a stool softener
6.Farmakologi
Jawaban: C · It is a partial agonist at dopamine D2 receptors
Mengapa ini jawabannya
Aripiprazole is a D2 partial agonist, reducing dopamine activity where it is high and providing some where it is low. It causes less weight gain and prolactin rise than many antipsychotics, but akathisia is common.
Jawaban
C · It is a partial agonist at dopamine D2 receptors