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Nama: ____________________ Tanggal: ____________
1.Mudah
What is agoraphobia?
AFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
BFear of one specific object or animal, such as spiders, dogs or snakes
CFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
DFear of being judged or embarrassed while speaking or eating in front of others
2.Mudah
Apa arti prinsip "alternatif yang paling tidak membatasi" dalam perawatan kesehatan jiwa?
ARestrain harus menjadi tindakan pertama yang digunakan
BSemua pasien harus dirawat di bangsal terkunci
CPasien tidak boleh dibatasi dengan cara apa pun, bahkan ketika ada risiko serius bagi dirinya atau orang lain
DPerawatan harus membatasi kebebasan pasien sesedikit mungkin sambil menjaga keselamatan pasien dan orang lain
3.Mudah
Mengapa perawat biasanya sebaiknya menghindari pertanyaan "mengapa" kepada pasien, seperti "Mengapa Anda melakukan itu?"
APertanyaan tersebut selalu melanggar hukum
BPertanyaan tersebut dapat membuat pasien merasa dihakimi dan defensif
CPertanyaan tersebut terlalu terbuka
DPertanyaan tersebut mempersingkat pengkajian
4.Sedang
Which communication approach is best for a patient with moderate dementia?
AUse abstract language and long explanations so the patient feels respected
BSpeak loudly and quickly so that the patient stays alert
CUse short, simple sentences and give one instruction at a time
DAsk several questions together to save time
5.Sedang
Seorang pasien berusia 19 tahun baru mulai mengonsumsi antidepresan. Apa yang harus dipantau perawat dengan sangat ketat pada minggu-minggu pertama?
APerubahan warna mata
BPikiran atau perilaku bunuh diri yang baru atau memburuk
CRambut rontok
DKenaikan berat badan yang cepat
6.Sedang
A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?
AIf still awake after about 20 minutes, get up, do something calm and return when sleepy
BDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
CStay in bed and watch television or use a phone until sleep finally comes
DLook at the clock often to check how much sleep is being lost
7.Sulit
A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?
AHis usual methadone should continue, and additional analgesia is usually needed for acute pain
BHis methadone should be stopped while he is in hospital
CHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
DHe should get no opioids at all, because of his history
8.Sulit
A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?
AReduce monitoring, because a higher score on this scale means that his withdrawal is improving
BWait for the next routine score in four hours before deciding
CGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
DEncourage him to drink a large glass of wine to settle the symptoms
Kunci jawaban
1. A · Fear of situations where escape might be difficult or help unavailable, such as crowds or public transport
2. D · Perawatan harus membatasi kebebasan pasien sesedikit mungkin sambil menjaga keselamatan pasien dan orang lain
3. B · Pertanyaan tersebut dapat membuat pasien merasa dihakimi dan defensif
4. C · Use short, simple sentences and give one instruction at a time
5. B · Pikiran atau perilaku bunuh diri yang baru atau memburuk
6. A · If still awake after about 20 minutes, get up, do something calm and return when sleepy
7. A · His usual methadone should continue, and additional analgesia is usually needed for acute pain
8. C · Give the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
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