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Nama: ____________________ Tanggal: ____________
1.Mudah
In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?
AA delusion
BAn idea of reference
CAn illusion
DA hallucination
2.Mudah
What is "sundowning" in a person with dementia?
AImproved memory and calmness as darkness falls each evening
BSensitivity of the skin to sunlight caused by dementia medicines
CIncreased confusion and agitation in the late afternoon and evening
DSleeping all day and staying awake all night from the start of the illness
3.Mudah
Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?
AAvoiding places that remind the person of the event
BBeing easily startled by loud noises
CFlashbacks of the traumatic event
DFeeling detached from family and friends
4.Sedang
Which item is part of a safety plan for a person experiencing domestic violence?
ATelling the abuser about plans to leave so that he can prepare
BKeeping all important documents in the shared house
CKeeping an emergency bag with documents, money and keys somewhere safe
DAvoiding contact with friends and support services so as not to provoke him
5.Sedang
An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?
AIt is a strong opioid that causes severe dependence
BIts anticholinergic effects can cause confusion, urine retention and falls
CIt has no effects at all in people over 80, so it will not help her sleep
DIt raises blood pressure to dangerous levels in older adults
6.Sedang
A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?
ADissociative amnesia for the trauma
BAvoidance
CIntrusion symptoms
DChanges in arousal and reactivity
7.Sulit
On the day after hip surgery, a 58-year-old patient has a new tremor, sweating, anxiety and a fast pulse. He did not report any alcohol use on admission. What should the nurse do?
ATell him that his symptoms are normal after hip surgery
BAssume he has post-operative pain and give extra analgesia only
CAsk him and his family about his alcohol use and the time of his last drink, and report the findings
DWait until the next day to see if the symptoms go away on their own once his pain is better controlled
8.Sulit
Seorang pasien dalam ruang isolasi (seclusion) tampak tertidur. Apa yang harus dilakukan perawat?
AMeninggalkan pasien sampai giliran jaga berikutnya
BBerhenti mengobservasi karena pasien tertidur
CMelanjutkan observasi pada frekuensi yang diperlukan, memeriksa pernapasan dan kesejahteraan
DMembangunkan pasien setiap 5 menit untuk menanyakan perasaannya dan memeriksa pernapasannya
Kunci jawaban
1. C · An illusion
2. C · Increased confusion and agitation in the late afternoon and evening
3. C · Flashbacks of the traumatic event
4. C · Keeping an emergency bag with documents, money and keys somewhere safe
5. B · Its anticholinergic effects can cause confusion, urine retention and falls
6. D · Changes in arousal and reactivity
7. C · Ask him and his family about his alcohol use and the time of his last drink, and report the findings
8. C · Melanjutkan observasi pada frekuensi yang diperlukan, memeriksa pernapasan dan kesejahteraan
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