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Nama: ____________________ Tanggal: ____________
1.Mudah
Mekanisme pertahanan diri mana yang dianggap sehat dan matang?
AProyeksi: menyalahkan orang lain atas perasaan sendiri
BPemisahan (splitting): memandang orang sebagai serba baik atau serba buruk
CSublimasi: menyalurkan perasaan agresif ke dalam olahraga
DPenyangkalan: menolak menerima diagnosis selama berbulan-bulan
2.Mudah
Litium terutama digunakan untuk mengobati:
AGangguan bipolar
BSerangan panik sebagai obat kerja cepat
CPutus alkohol
DSkizofrenia sebagai obat lini pertama
3.Mudah
What is conversion disorder (functional neurological symptom disorder)?
AA condition in which the person has two or more distinct identities, with gaps in memory between them
BDeliberately faking symptoms to get money or avoid work
CNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
DA belief that one has a serious illness without having any symptoms
4.Sedang
A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?
ANihilistic
BGrandiose
CSomatic
DErotomanic
5.Sedang
A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?
AA high serum potassium
BA high haemoglobin
CA low serum sodium
DA low serum cholesterol
6.Sedang
An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?
AIt has no effects at all in people over 80, so it will not help her sleep
BIt is a strong opioid that causes severe dependence
CIt raises blood pressure to dangerous levels in older adults
DIts anticholinergic effects can cause confusion, urine retention and falls
7.Sulit
Seorang pasien ditemukan tidak responsif dengan frekuensi napas 6/menit dan pupil sebesar titik. Apa yang pertama kali harus dilakukan perawat?
AMemosisikan pasien dalam posisi pemulihan dan menunggu pasien bangun sendiri sebelum menghubungi siapa pun
BMemberikan flumazenil
CMemberikan segelas besar air
DMemanggil bantuan, membuka jalan napas dan membantu pernapasan, serta memberikan nalokson sesuai resep atau protokol
8.Sulit
A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?
ADehydration caused by anticholinergic side effects
BWater intoxication from psychogenic polydipsia
CNeuroleptic malignant syndrome from his antipsychotic medicine
DA worsening of his psychosis that needs a higher dose of antipsychotic
Kunci jawaban
1. C · Sublimasi: menyalurkan perasaan agresif ke dalam olahraga
2. A · Gangguan bipolar
3. C · Neurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
4. B · Grandiose
5. C · A low serum sodium
6. D · Its anticholinergic effects can cause confusion, urine retention and falls
7. D · Memanggil bantuan, membuka jalan napas dan membantu pernapasan, serta memberikan nalokson sesuai resep atau protokol
8. B · Water intoxication from psychogenic polydipsia
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