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Nama: ____________________ Tanggal: ____________
1.Mudah
A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?
AAmnesia
BApraxia
CAkathisia
DAphasia
2.Mudah
Mekanisme pertahanan diri mana yang dianggap sehat dan matang?
ASublimasi: menyalurkan perasaan agresif ke dalam olahraga
BPenyangkalan: menolak menerima diagnosis selama berbulan-bulan
CProyeksi: menyalahkan orang lain atas perasaan sendiri
DPemisahan (splitting): memandang orang sebagai serba baik atau serba buruk
3.Mudah
What is "sundowning" in a person with dementia?
ASensitivity of the skin to sunlight caused by dementia medicines
BImproved memory and calmness as darkness falls each evening
CIncreased confusion and agitation in the late afternoon and evening
DSleeping all day and staying awake all night from the start of the illness
4.Sedang
Which treatment is recommended first-line for chronic insomnia in adults?
ALong-term daily benzodiazepines
BCognitive behavioural therapy for insomnia (CBT-I)
CStaying in bed for longer each morning
DDrinking alcohol in the evening to fall asleep
5.Sedang
A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?
A"You're thinking about your mother. Tell me about her."
B"Your mother will visit you later this afternoon."
C"Your mother died 30 years ago. You know that."
D"Please stop asking about her now and finish your lunch before it gets cold."
6.Sedang
A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?
AGrandiose
BNihilistic
CErotomanic
DSomatic
7.Sulit
A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?
AAsk the doctor to order new tests every time she reports a symptom
BStop answering her calls, because the symptoms are imaginary
CArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
DTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
8.Sulit
A patient tells the nurse, "You're the only one I can talk to. You're much better than the other nurses." What is the most appropriate response?
A"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."
B"You shouldn't compare nurses. That's not fair to them, and it's rude."
C"Thank you. I'll make sure I'm always the one assigned to you from now on."
D"I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
Kunci jawaban
1. B · Apraxia
2. A · Sublimasi: menyalurkan perasaan agresif ke dalam olahraga
3. C · Increased confusion and agitation in the late afternoon and evening
4. B · Cognitive behavioural therapy for insomnia (CBT-I)
5. A · "You're thinking about your mother. Tell me about her."
6. C · Erotomanic
7. C · Arrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
8. D · "I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
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