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Nama: ____________________ Tanggal: ____________
1.Mudah
A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?
AThought broadcasting
BFlight of ideas
CEcholalia
DThought blocking
2.Mudah
A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?
AFlat
BLabile
CCongruent
DBlunted
3.Mudah
Which side effects are typical of mirtazapine?
ASedation and increased appetite with weight gain
BPriapism and a dry cough
CHigh blood pressure and tremor
DInsomnia, agitation and weight loss
4.Sedang
Seorang pasien skizofrenia berkata, "Suara-suara itu bilang saya jahat." Respons mana yang terbaik?
A"Suara-suara itu tidak nyata, jadi abaikan saja."
B"Kalau Anda mendengar suara-suara, Anda pasti sangat sakit."
C"Mari kita tidak membicarakan suara-suara itu dulu. Ceritakan saja tentang keluarga dan rencana Anda."
D"Saya tidak mendengar suara-suara itu, tetapi saya bisa melihat suara-suara itu mengganggu Anda. Apa yang mereka katakan kepada Anda?"
5.Sedang
A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?
AAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
BArrange for only the senior doctor to see him from now on
CRespond respectfully but firmly, and keep the same expectations as for other patients
DTell him that he is not as important as he thinks he is
6.Sedang
Apa yang harus diajarkan kepada pasien yang mengonsumsi klozapin untuk segera dilaporkan?
AAir liur yang meningkat pada malam hari
BDemam, nyeri tenggorok, atau tanda infeksi lainnya
CKantuk ringan setelah dosis malam
DKeinginan untuk makan lebih banyak
7.Sulit
An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?
ABrief psychotic disorder in later life
BDelirium
CNormal ageing with mild forgetfulness
DA neurocognitive disorder such as Alzheimer's disease
8.Sulit
A new nurse asks why the therapeutic relationship is different from a social relationship. Which statement is correct?
AThe patient is responsible for setting the boundaries of the relationship
BIt is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
CBoth people share their needs equally, as in any friendship
DIt has no fixed end, and it can continue as a friendship after discharge if both the nurse and the patient want it to
Kunci jawaban
1. A · Thought broadcasting
2. B · Labile
3. A · Sedation and increased appetite with weight gain
4. D · "Saya tidak mendengar suara-suara itu, tetapi saya bisa melihat suara-suara itu mengganggu Anda. Apa yang mereka katakan kepada Anda?"
5. C · Respond respectfully but firmly, and keep the same expectations as for other patients
6. B · Demam, nyeri tenggorok, atau tanda infeksi lainnya
7. D · A neurocognitive disorder such as Alzheimer's disease
8. B · It is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
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