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Nama: ____________________ Tanggal: ____________
1.Mudah
A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?
AEcholalia
BEchopraxia
CConfabulation
DNeologism
2.Mudah
A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?
ALithium carbonate
BSeclusion in a quiet room
CElectroconvulsive therapy
DBright light therapy
3.Mudah
Seseorang yang memiliki perasaan permusuhan yang kuat terhadap tetangganya bersikap sangat ramah dan murah hati kepadanya. Mekanisme pertahanan diri apa ini?
APengalihan (displacement)
BPembentukan reaksi (reaction formation)
CPenyangkalan
DKompensasi
4.Sedang
A patient with limited English needs a mental health assessment. Who should interpret?
AThe nurse, using an online translation app on her phone for the whole assessment
BA trained professional interpreter
CAnother patient on the ward who speaks the language
DThe patient's 12-year-old son
5.Sedang
Which action reflects trauma-informed care?
AExplaining each procedure in advance and offering choices wherever possible
BAsking the patient to repeat the full trauma story to each new staff member
CMaking all decisions for the patient so that she does not feel burdened
DUsing physical restraint early to prevent any loss of control
6.Sedang
Which setting is best for an initial assessment interview with a new patient?
AA quiet, private room with chairs at the same level and easy access to the door
BThe busy day room, so that the patient feels part of the ward
CA small office with the nurse sitting behind a high desk between herself and the door
DThe corridor, so that the interview can be done quickly
7.Sulit
Seorang pasien yang diobati untuk ketergantungan opioid akan menerima dosis pertama buprenorfin. Ia terakhir menggunakan heroin 2 jam yang lalu. Apa risikonya?
ABuprenorfin tidak akan berefek sama sekali
BBuprenorfin akan menambah efek heroin dan menyebabkan overdosis opioid yang berbahaya dengan depresi napas
CBuprenorfin dapat menyebabkan putus obat terpicu (precipitated withdrawal) bila diberikan saat agonis penuh masih aktif
DTidak ada risiko; harus diberikan segera
8.Sulit
A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?
AWait for the next routine score in four hours before deciding
BEncourage him to drink a large glass of wine to settle the symptoms
CReduce monitoring, because a higher score on this scale means that his withdrawal is improving
DGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
Kunci jawaban
1. A · Echolalia
2. D · Bright light therapy
3. B · Pembentukan reaksi (reaction formation)
4. B · A trained professional interpreter
5. A · Explaining each procedure in advance and offering choices wherever possible
6. A · A quiet, private room with chairs at the same level and easy access to the door
7. C · Buprenorfin dapat menyebabkan putus obat terpicu (precipitated withdrawal) bila diberikan saat agonis penuh masih aktif
8. D · Give the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
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