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Nama: ____________________ Tanggal: ____________
1.Mudah
According to crisis theory, how long does an acute crisis usually last before it resolves in some way?
AAbout 4–6 weeks
BAbout 1 year
CAbout 2–3 hours
DAbout 5 years
2.Mudah
What is the main difference between bipolar I and bipolar II disorder?
ABipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
BBipolar I involves only depression; bipolar II involves only mania
CBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
DBipolar II is always more severe than bipolar I
3.Mudah
What is agoraphobia?
AFear of one specific object or animal, such as spiders, dogs or snakes
BFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
CFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
DFear of being judged or embarrassed while speaking or eating in front of others
4.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
5.Sedang
Faktor mana yang merupakan salah satu prediktor terkuat bunuh diri di masa depan?
AMemiliki pekerjaan tetap
BMemiliki keyakinan agama yang kuat
CSudah menikah
DPercobaan bunuh diri sebelumnya
6.Sedang
How should the nurse position herself when talking to an agitated patient?
AAt a safe distance, slightly to the side, with a clear exit available
BBetween the patient and the wall, so the patient can leave easily
CBehind the patient and close to him, so that the patient does not feel threatened by eye contact
DDirectly face to face, as close as possible, to show confidence
7.Sulit
Pada hari kedua setelah minum terakhir, seorang pasien mengalami tremor nyata, melihat serangga di dinding, denyut jantung 124/menit, tekanan darah 170/100 mmHg, dan berkeringat banyak. Apa prioritasnya?
AMenjelaskan bahwa serangga itu tidak nyata dan membiarkannya beristirahat
BMenanganinya sebagai kemungkinan delirium tremens: minta bantuan medis segera, berikan benzodiazepin sesuai resep, dan jaga keselamatannya
CMembatasi asupan cairannya
DMemberinya sedikit alkohol untuk meredakan gejala, lalu membiarkannya tidur di ruang samping yang tenang dengan pintu tertutup
8.Sulit
A new nurse asks why the therapeutic relationship is different from a social relationship. Which statement is correct?
AIt has no fixed end, and it can continue as a friendship after discharge if both the nurse and the patient want it to
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
DThe patient is responsible for setting the boundaries of the relationship
Kunci jawaban
1. A · About 4–6 weeks
2. A · Bipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
3. B · Fear of situations where escape might be difficult or help unavailable, such as crowds or public transport
4. C · A low serum sodium
5. D · Percobaan bunuh diri sebelumnya
6. A · At a safe distance, slightly to the side, with a clear exit available
7. B · Menanganinya sebagai kemungkinan delirium tremens: minta bantuan medis segera, berikan benzodiazepin sesuai resep, dan jaga keselamatannya
8. B · It is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
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