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Nama: ____________________ Tanggal: ____________
1.Mudah
For which patients is clozapine mainly used?
APatients with schizophrenia that has not responded to two other antipsychotics
BOlder patients with dementia who become agitated and restless in the evening
CPatients with mild anxiety who need a short-term sedative
DPatients having their very first episode of mild psychosis
2.Mudah
According to Erikson, what is the main psychosocial task of adolescence?
AIntegrity versus despair
BTrust versus mistrust
CIndustry versus inferiority
DIdentity versus role confusion
3.Mudah
What is the main purpose of a debriefing after a physical restraint incident?
ATo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
BTo decide which staff member should be blamed for the incident
CTo review what happened, support those involved and learn how to prevent future restraint
DTo punish the patient for the behaviour that led to the restraint
4.Sedang
A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?
ANeuroleptic malignant syndrome
BSerotonin syndrome
CA relapse of her depression into a severe psychotic depression
DAntidepressant discontinuation syndrome
5.Sedang
An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?
AA first episode of schizophrenia caused by moving into the home
BThe normal ageing process
CAn infection such as a urinary tract infection, or a medicine side effect
DA sudden onset of Alzheimer's disease
6.Sedang
A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?
AAsk her to describe the traumatic event in as much detail as she can
BLeave her alone until the episode has passed on its own
CAsk her to close her eyes and think back to the worst moment of the trauma
DAsk her to name things she can see, hear and touch in the room right now
7.Sulit
Selama sesi, seorang pasien mengatakan ia berniat mencelakai tetangga tertentu dengan serius. Apa prinsip umum yang benar?
ARisiko terhadap orang yang dapat diidentifikasi harus dibagikan kepada tim dan mungkin perlu diungkapkan untuk melindungi orang tersebut, sesuai hukum dan kebijakan
BAncaman itu harus diabaikan karena pasien sering mengatakan hal yang tidak mereka maksudkan
CPerawat harus pergi sendiri dan memperingatkan tetangga tanpa memberi tahu tim
DKerahasiaan berarti tidak ada yang boleh dibagikan
8.Sulit
Which intervention is most appropriate for an older patient with delirium?
AMove the patient to a different room each day
BUse physical restraints at night to prevent falls
CProvide orientation cues, make sure glasses and hearing aids are used, and involve the family
DKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
Kunci jawaban
1. A · Patients with schizophrenia that has not responded to two other antipsychotics
2. D · Identity versus role confusion
3. C · To review what happened, support those involved and learn how to prevent future restraint
4. D · Antidepressant discontinuation syndrome
5. C · An infection such as a urinary tract infection, or a medicine side effect
6. D · Ask her to name things she can see, hear and touch in the room right now
7. A · Risiko terhadap orang yang dapat diidentifikasi harus dibagikan kepada tim dan mungkin perlu diungkapkan untuk melindungi orang tersebut, sesuai hukum dan kebijakan
8. C · Provide orientation cues, make sure glasses and hearing aids are used, and involve the family
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