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Nama: ____________________ Tanggal: ____________
1.Mudah
For which patients is clozapine mainly used?
APatients with mild anxiety who need a short-term sedative
BOlder patients with dementia who become agitated and restless in the evening
CPatients having their very first episode of mild psychosis
DPatients with schizophrenia that has not responded to two other antipsychotics
2.Mudah
Pasien yang mengonsumsi penghambat monoamin oksidase (MAOI) harus menghindari jenis makanan apa?
ASayuran segar
BNasi dan pasta
CSusu segar dan yoghurt tawar, karena kandungan kalsiumnya
DMakanan tinggi tiramin, seperti keju matang dan daging olahan yang diawetkan
3.Mudah
In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?
AUniversality
BCatharsis
CInstillation of hope
DAltruism
4.Sedang
A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?
A"A sudden severe headache is a reason to get help straight away."
B"I can take any cold and flu remedy from the pharmacy."
C"I'll tell any new doctor or dentist that I take an MAOI."
D"I'll avoid aged cheese and cured meats."
5.Sedang
Which side effects should the nurse monitor for in a patient starting donepezil?
ADry mouth, constipation and urinary retention
BNausea, diarrhoea and a slow heart rate
CTremor, thirst and passing large amounts of urine
DWeight gain and high blood glucose
6.Sedang
A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?
AAgranulocytosis
BHypertensive crisis from tyramine
CSerotonin syndrome
DLithium toxicity
7.Sulit
A patient in a catatonic stupor has not eaten or drunk anything for 24 hours and does not respond to speech. What is the priority nursing concern?
ATeaching him about his medicines
BExploring the meaning of his silence with open questions
CEncouraging him to join group therapy
DFluid and nutritional intake, and other physical needs
8.Sulit
During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?
AEnd the session because personal questions are not allowed
BAnswer briefly or decline politely, then return the focus to the patient
CShare details about the nurse's family to build a friendship
DIgnore the question completely and stay silent until the patient changes the subject
Kunci jawaban
1. D · Patients with schizophrenia that has not responded to two other antipsychotics
2. D · Makanan tinggi tiramin, seperti keju matang dan daging olahan yang diawetkan
3. A · Universality
4. B · "I can take any cold and flu remedy from the pharmacy."
5. B · Nausea, diarrhoea and a slow heart rate
6. C · Serotonin syndrome
7. D · Fluid and nutritional intake, and other physical needs
8. B · Answer briefly or decline politely, then return the focus to the patient
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