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Nama: ____________________ Tanggal: ____________
1.Mudah
A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?
AGiving approval
BChanging the subject
CPresenting reality
DReflecting feelings
2.Mudah
In behaviour therapy, what is positive reinforcement?
AAdding an unpleasant consequence so that a behaviour stops
BRemoving a reward so that a behaviour becomes less likely
CIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
DAdding a reward after a behaviour so that the behaviour becomes more likely
3.Mudah
A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?
APersonalisation
BCatastrophising
CEmotional reasoning
DAll-or-nothing thinking
4.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 years, including 6 months of active symptoms
CAt least 1 month, with no further time required
DAt least 2 weeks of continuous symptoms
5.Sedang
How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?
AIt is given as a daily tablet that contains tiny magnetic particles
BIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
CIt needs a general anaesthetic and causes a seizure, like ECT
DIt involves surgically implanting electrodes deep in the brain under anaesthetic
6.Sedang
A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?
ARaised blood calcium
BRaised prolactin
CLow blood sodium
DLow thyroid hormone
7.Sulit
A patient in acute mania has slept for 2 hours in 3 nights, is losing weight and is pacing constantly. Which nursing concern is the priority?
ARisk of physical exhaustion and injury
BLack of knowledge about the illness
CLow self-esteem
DDisturbed relationships with her family
8.Sulit
A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?
AAssess the patient, including his vital signs and level of sedation
BSay nothing, because one dose will not cause harm
CFill in an incident report before checking the patient
DGive the patient his own prescribed medicine as well, to stay on schedule
Kunci jawaban
1. D · Reflecting feelings
2. D · Adding a reward after a behaviour so that the behaviour becomes more likely
3. A · Personalisation
4. A · At least 6 months, including at least 1 month of active symptoms
5. B · It uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
6. B · Raised prolactin
7. A · Risk of physical exhaustion and injury
8. A · Assess the patient, including his vital signs and level of sedation
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