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Nama: ____________________ Tanggal: ____________
1.Mudah
Seorang pasien yang baru didiagnosis kanker berkata, "Hasil tesnya pasti salah; saya merasa sehat-sehat saja." Mekanisme pertahanan diri apa ini?
AProyeksi
BSublimasi
CPengalihan (displacement)
DPenyangkalan (denial)
2.Mudah
What is "sundowning" in a person with dementia?
AImproved memory and calmness as darkness falls each evening
BSleeping all day and staying awake all night from the start of the illness
CSensitivity of the skin to sunlight caused by dementia medicines
DIncreased confusion and agitation in the late afternoon and evening
3.Mudah
Apa itu transferens?
APasien secara tidak sadar mengarahkan perasaan tentang seseorang dari masa lalunya kepada perawat
BMemindahkan pasien ke bangsal lain
CPerasaan perawat terhadap pasien
DMekanisme pertahanan diri yang mengubah kecemasan tidak sadar menjadi gejala fisik seperti kelumpuhan
4.Sedang
Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?
AIt is against the law in mental health settings
BIt always makes the patient angry and more likely to become aggressive towards staff
CIt shows that the nurse is not listening at all
DIt suggests that the patient's choices are judged against the nurse's standards
5.Sedang
According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?
AAt least 6 months, including at least 1 month of active symptoms
BAt least 2 weeks of continuous symptoms
CAt least 1 month, with no further time required
DAt least 2 years, including 6 months of active symptoms
6.Sedang
A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?
A"Everyone here knows you well, so don't worry."
B"The doctor is very experienced, so you should trust her."
C"Why do you think the doctor is wrong about you?"
D"You feel that people here don't really know you?"
7.Sulit
A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?
ALock and unlock the door in front of him each time he asks
BReassure him every time he asks, as often as he needs
CAnswer once, then follow the agreed plan to limit repeated reassurance
DTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
8.Sulit
A nurse posts on social media about a "funny" patient on her ward, without giving his name. What is correct?
AIt is only a problem if the patient finds the post himself
BIt breaches confidentiality, because he could still be identified
CIt is acceptable if the post is set to "friends only"
DIt is acceptable because his name was not used
Kunci jawaban
1. D · Penyangkalan (denial)
2. D · Increased confusion and agitation in the late afternoon and evening
3. A · Pasien secara tidak sadar mengarahkan perasaan tentang seseorang dari masa lalunya kepada perawat
4. D · It suggests that the patient's choices are judged against the nurse's standards
5. A · At least 6 months, including at least 1 month of active symptoms
6. D · "You feel that people here don't really know you?"
7. C · Answer once, then follow the agreed plan to limit repeated reassurance
8. B · It breaches confidentiality, because he could still be identified
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