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Nama: ____________________ Tanggal: ____________
1.Mudah
The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?
APerception
BRecent memory
CJudgement
DOrientation
2.Mudah
Mengapa tiamin (vitamin B1) diberikan kepada pasien dengan ketergantungan alkohol?
AUntuk membuat rasa alkohol tidak enak
BUntuk mengurangi keinginan kuat (craving) akan alkohol
CUntuk mencegah atau mengobati ensefalopati Wernicke
DUntuk mengobati sirosis hati
3.Mudah
Which early feature is most typical of frontotemporal dementia?
AStepwise decline after a series of small strokes
BChanges in personality and behaviour, such as loss of inhibition
CSevere memory loss as the very first symptom, with no change in behaviour
DVisual hallucinations of people and animals
4.Sedang
Which action reflects trauma-informed care?
AMaking all decisions for the patient so that she does not feel burdened
BUsing physical restraint early to prevent any loss of control
CAsking the patient to repeat the full trauma story to each new staff member
DExplaining each procedure in advance and offering choices wherever possible
5.Sedang
Which side effects should the nurse monitor for in a patient starting donepezil?
ANausea, diarrhoea and a slow heart rate
BDry mouth, constipation and urinary retention
CTremor, thirst and passing large amounts of urine
DWeight gain and high blood glucose
6.Sedang
What is the key difference between factitious disorder and malingering?
AMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
BIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
CIn factitious disorder, the symptoms are not produced on purpose at all
DThere is no real difference between them, and both terms mean exactly the same thing
7.Sulit
Seorang pasien bedah berusia 80 tahun menjadi bingung semalaman, dengan atensi yang berfluktuasi dan menarik-narik jalur IV-nya. Ia berorientasi baik saat masuk. Interpretasi mana yang paling tepat?
APerilaku buruk yang segera memerlukan restrain
BPenuaan normal yang tidak memerlukan tindakan
CKemungkinan delirium: cari penyebab fisik yang mendasari dan beri tahu tim
DPerkembangan demensia yang cepat dan tidak dapat diobati, sehingga tidak perlu pemeriksaan lebih lanjut
8.Sulit
A man has odd beliefs about being able to read minds, dresses eccentrically and has few friends because others make him anxious. He has never had sustained hallucinations or delusions. Which diagnosis fits best?
AHistrionic personality disorder with odd dress
BSchizotypal personality disorder
CSchizophrenia
DAntisocial personality disorder
Kunci jawaban
1. C · Judgement
2. C · Untuk mencegah atau mengobati ensefalopati Wernicke
3. B · Changes in personality and behaviour, such as loss of inhibition
4. D · Explaining each procedure in advance and offering choices wherever possible
5. A · Nausea, diarrhoea and a slow heart rate
6. B · In factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
7. C · Kemungkinan delirium: cari penyebab fisik yang mendasari dan beri tahu tim
8. B · Schizotypal personality disorder
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