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Which feature is typical of Korsakoff syndrome?

1. AA flapping tremor of the hands caused by liver failure
2. BFever, rigidity and a high creatine kinase
3. CSevere memory loss with confabulation
4. DPinpoint pupils and slow breathing

What is Russell's sign, seen in some patients with eating disorders?

1. AFine, downy hair growing on the face and back
2. BSwelling of the ankles and feet during the first days of refeeding in hospital
3. CCalluses or scars on the back of the hand from inducing vomiting
4. DYellowing of the skin from eating a lot of carrots

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. AA painful erection that does not go away
2. BRinging in the ears
3. CA dry cough
4. DDarkening of the skin on the hands and face

Which communication approach is best with a patient who has paranoid personality disorder?

1. AAvoid explaining anything so that the patient does not become suspicious
2. BTalk about the patient with colleagues in whispers within his sight
3. CBe clear, honest and business-like, and explain the reasons for actions
4. DBe very warm and joke often to put the patient at ease

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
2. BThe combination is completely safe because they act on different systems
3. CIbuprofen will make the sertraline work faster
4. DIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction

Prinsip mana yang berlaku untuk penggunaan restrain fisik?

1. ADapat digunakan demi kenyamanan staf pada giliran jaga yang sibuk, asalkan didokumentasikan dan ditinjau oleh tim sesudahnya
2. BTidak perlu didokumentasikan
3. CDapat digunakan sebagai hukuman karena melanggar aturan
4. DPilihan terakhir ketika tindakan yang kurang membatasi gagal, dengan pemantauan ketat dan dilepas segera setelah aman

In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?

1. AThe nurse has made a serious mistake and should hand her care to a colleague immediately
2. BShe is being rude to the nurse on purpose and should be warned
3. CShe may be showing resistance as painful topics come closer, which the nurse can gently explore
4. DShe no longer needs any help, so the sessions should end at once

During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?

1. AShare details about the nurse's family to build a friendship
2. BIgnore the question completely and stay silent until the patient changes the subject
3. CAnswer briefly or decline politely, then return the focus to the patient
4. DEnd the session because personal questions are not allowed