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Nama: ____________________ Tanggal: ____________
1.Mudah
What type of drug is methadone, used in the treatment of opioid dependence?
AA long-acting full opioid agonist
BAn opioid antagonist that blocks all opioid effects
CA non-addictive stimulant that reduces opioid craving
DA benzodiazepine that reduces anxiety during withdrawal
2.Mudah
Which measure has good evidence for reducing suicide deaths?
AAsking the patient to sign a no-suicide contract
BRestricting access to lethal means, such as firearms or large supplies of medicines
CGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
DAvoiding the topic of suicide completely with people at risk
3.Mudah
Seorang mahasiswa yang gagal ujian berkata, "Soalnya tidak adil, jadi tidak masalah." Mekanisme pertahanan diri apa ini?
ARasionalisasi
BIdentifikasi
CKonversi
DRepresi
4.Sedang
Seorang pasien berkeras bahwa petugas meracuni makanannya. Apa pendekatan awal yang terbaik?
AMenyetujuinya agar ia percaya pada Anda
BMengakui rasa takutnya tanpa berdebat tentang keyakinannya dan berfokus pada topik berbasis kenyataan
CMengatakan dengan tegas bahwa ia tidak akan diberi makanan sampai ia berhenti menuduh
DBerdebat secara logis sampai ia mengaku salah
5.Sedang
A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?
ARespond with similar comments to build rapport
BAvoid the patient for the rest of the shift
CCalmly say that the comments are not acceptable and redirect him
DLaugh at the comments so he does not feel rejected
6.Sedang
Which side effects should the nurse monitor for in a patient starting donepezil?
ANausea, diarrhoea and a slow heart rate
BWeight gain and high blood glucose
CDry mouth, constipation and urinary retention
DTremor, thirst and passing large amounts of urine
7.Sulit
A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?
AHold the serotonergic medicines and inform the prescriber urgently
BGive the next dose of venlafaxine as planned
CGive paracetamol (acetaminophen) and check her again tomorrow
DEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching
8.Sulit
A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?
AWork with her to clear the exits first, then agree a gradual plan together
BArrange for the whole house to be cleared while she is out
CTell her that she will be evicted unless everything is thrown away today
DIgnore the clutter, because it is her own home
Kunci jawaban
1. A · A long-acting full opioid agonist
2. B · Restricting access to lethal means, such as firearms or large supplies of medicines
3. A · Rasionalisasi
4. B · Mengakui rasa takutnya tanpa berdebat tentang keyakinannya dan berfokus pada topik berbasis kenyataan
5. C · Calmly say that the comments are not acceptable and redirect him
6. A · Nausea, diarrhoea and a slow heart rate
7. A · Hold the serotonergic medicines and inform the prescriber urgently
8. A · Work with her to clear the exits first, then agree a gradual plan together
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