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Nama: ____________________ Tanggal: ____________
1.Mudah
What is anhedonia?
AAn inability to fall asleep at night despite feeling very tired during the day
BA belief that one's body is diseased or rotting
CLoss of interest or pleasure in activities that were enjoyed before
DRapid, pressured speech that is hard to interrupt
2.Mudah
What is the main difference between bipolar I and bipolar II disorder?
ABipolar I involves only depression; bipolar II involves only mania
BBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
CBipolar II is always more severe than bipolar I
DBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
3.Mudah
A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?
ARestating
BFocusing
CSummarising
DChanging the subject
4.Sedang
Kumpulan temuan mana yang menunjukkan sindrom neuroleptik maligna?
ADemam tinggi, kekakuan otot "pipa timah" yang berat, kebingungan, tekanan darah tidak stabil, dan CK meningkat
BKenaikan berat badan dan glukosa darah meningkat
CHiperrefleksia, klonus, diare, pupil melebar, dan agitasi dalam hitungan jam setelah obat serotonergik baru
DTremor halus dan rasa haus yang meningkat
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
CA sudden onset of Alzheimer's disease
DAn infection such as a urinary tract infection, or a medicine side effect
6.Sedang
A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?
AHyperthyroidism
BHypothyroidism
CSerotonin syndrome
DAgranulocytosis
7.Sulit
The nurse receives handover for four patients. Which patient should she see first?
AA newly admitted man with depression who says he has given away his dog and written letters to his children
BA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
CA man with schizophrenia who is asking for his PRN laxative
DA woman with bipolar disorder who wants to talk about her discharge plans for next week
8.Sulit
Seorang pasien yang mengonsumsi MAOI pulang dari sebuah pesta dengan sakit kepala hebat di belakang kepala, kaku kuduk, dan palpitasi. Apa yang pertama kali harus dilakukan perawat?
AMemeriksa tekanan darah dan segera memberi tahu penulis resep
BMenyarankannya berbaring dan tidur saja
CMemberikan dosis MAOI berikutnya lebih awal
DMemberikan secangkir kopi kental untuk sakit kepala
Kunci jawaban
1. C · Loss of interest or pleasure in activities that were enjoyed before
2. D · Bipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
3. D · Changing the subject
4. A · Demam tinggi, kekakuan otot "pipa timah" yang berat, kebingungan, tekanan darah tidak stabil, dan CK meningkat
5. D · An infection such as a urinary tract infection, or a medicine side effect
6. B · Hypothyroidism
7. A · A newly admitted man with depression who says he has given away his dog and written letters to his children
8. A · Memeriksa tekanan darah dan segera memberi tahu penulis resep
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