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Nama: ____________________ Tanggal: ____________
1.Mudah
A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?
ADepersonalisation
BA delusion of control
CDerealisation
DA visual hallucination
2.Mudah
Which personality disorders belong to Cluster A, the "odd or eccentric" cluster?
AAntisocial, borderline, histrionic and narcissistic
BAvoidant, dependent and obsessive-compulsive
CBorderline, avoidant and paranoid
DParanoid, schizoid and schizotypal
3.Mudah
The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?
APerception
BJudgement
CRecent memory
DOrientation
4.Sedang
Which physical finding is common in bulimia nervosa?
AA high serum potassium level
BRaised blood pressure, a fast pulse and a high temperature
CSwelling of the salivary glands at the angle of the jaw
DVery low body weight with lanugo hair
5.Sedang
A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?
ASerotonin syndrome
BAgranulocytosis
CHypothyroidism
DHyperthyroidism
6.Sedang
Which nurse statement is most consistent with motivational interviewing?
A"You're an alcoholic, and you need to admit it."
B"If you don't stop drinking now, you'll die."
C"I've decided that you need to stop drinking completely."
D"What would be different for you if you drank less?"
7.Sulit
Tidak lama setelah menerima haloperidol, kepala seorang pasien terpuntir ke satu sisi, matanya terpaku ke atas, dan ia mengeluh tenggorokannya terasa sempit. Apa yang pertama kali harus dilakukan perawat?
AMenenangkannya bahwa ini kecemasan terhadap obat baru dan membiarkannya beristirahat tenang sendirian
BMemberikan dosis haloperidol lagi
CMeminta bantuan medis segera dan memberikan antikolinergik yang diresepkan, sambil mengawasi jalan napas
DMenganjurkannya meregangkan lehernya
8.Sulit
A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?
AThiamine prevents all alcohol withdrawal seizures
BThiamine quickly lowers the blood alcohol level
CThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
DWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
Kunci jawaban
1. A · Depersonalisation
2. D · Paranoid, schizoid and schizotypal
3. B · Judgement
4. C · Swelling of the salivary glands at the angle of the jaw
5. C · Hypothyroidism
6. D · "What would be different for you if you drank less?"
7. C · Meminta bantuan medis segera dan memberikan antikolinergik yang diresepkan, sambil mengawasi jalan napas
8. D · Wernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
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