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Nama: ____________________ Tanggal: ____________
1.Mudah
Which question is open-ended?
A"Are you feeling sad today?"
B"What has been on your mind today?"
C"Did you sleep well last night?"
D"Have you taken your medicine yet?"
2.Mudah
Which feature is typical of Korsakoff syndrome?
AA flapping tremor of the hands caused by liver failure
BPinpoint pupils and slow breathing
CFever, rigidity and a high creatine kinase
DSevere memory loss with confabulation
3.Mudah
Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?
ASummarising
BExploring
CFocusing
DRestating
4.Sedang
Which communication approach is best with a patient who has paranoid personality disorder?
ATalk about the patient with colleagues in whispers within his sight
BBe clear, honest and business-like, and explain the reasons for actions
CBe very warm and joke often to put the patient at ease
DAvoid explaining anything so that the patient does not become suspicious
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?
ATell him that he is not as important as he thinks he is
BAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
CArrange for only the senior doctor to see him from now on
DRespond respectfully but firmly, and keep the same expectations as for other patients
6.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?
AErotomanic
BNihilistic
CGrandiose
DSomatic
7.Sulit
Pada hari ketiga pemberian makan kembali, seorang pasien anoreksia nervosa berat mengalami pergelangan kaki bengkak, fosfat rendah, dan nadi tidak teratur. Apa yang paling mungkin?
AKenaikan berat badan normal
BSindrom serotonin
CSindrom pemberian makan kembali (refeeding syndrome)
DReaksi alergi terhadap makanan
8.Sulit
Seorang pasien sukarela yang tidak memiliki risiko bahaya segera ingin meninggalkan bangsal melawan saran medis. Apa pendekatan umum yang benar?
AMengunci pintu untuk mencegah pasien pergi
BMengatakan kepada pasien bahwa petugas akan merestrain dan membawanya kembali ke bangsal bila ia mencoba pergi tanpa izin dokter
CMenyembunyikan barang-barang pasien
DMenjelaskan risikonya, memberi tahu tim, mendokumentasikan diskusi, dan menghormati haknya untuk pergi sesuai hukum dan kebijakan
Kunci jawaban
1. B · "What has been on your mind today?"
2. D · Severe memory loss with confabulation
3. A · Summarising
4. B · Be clear, honest and business-like, and explain the reasons for actions
5. D · Respond respectfully but firmly, and keep the same expectations as for other patients
6. C · Grandiose
7. C · Sindrom pemberian makan kembali (refeeding syndrome)
8. D · Menjelaskan risikonya, memberi tahu tim, mendokumentasikan diskusi, dan menghormati haknya untuk pergi sesuai hukum dan kebijakan
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