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Nama: ____________________ Tanggal: ____________
1.Mudah
Apa arti prinsip "alternatif yang paling tidak membatasi" dalam perawatan kesehatan jiwa?
ASemua pasien harus dirawat di bangsal terkunci
BPerawatan harus membatasi kebebasan pasien sesedikit mungkin sambil menjaga keselamatan pasien dan orang lain
CRestrain harus menjadi tindakan pertama yang digunakan
DPasien tidak boleh dibatasi dengan cara apa pun, bahkan ketika ada risiko serius bagi dirinya atau orang lain
2.Mudah
Temuan mana yang khas untuk episode manik?
ABerkurangnya kebutuhan tidur dengan energi tinggi
BPerasaan tidak berharga
CBicara dan gerakan melambat
DTidur 14 jam sehari
3.Mudah
Why are benzodiazepines used with caution in older adults?
AThey cause rapid weight gain and diabetes in all older adults
BThey raise blood pressure to dangerous levels after a single dose
CThey have no effect on the brain in older people
DThey increase the risk of confusion, falls and fractures
4.Sedang
A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?
ATry to talk the patient down by discussing his feelings in detail
BPut him in a busy area so that staff can watch him more easily
CProvide a quiet, low-stimulation environment and keep staff and patient safe
DEncourage him to walk around the ward and join in activities to help burn off the drug
5.Sedang
A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?
ASerum lithium level
BUrine drug screen only
CAn MRI of the knee
DThyroid function tests
6.Sedang
Which action reflects trauma-informed care?
AUsing physical restraint early to prevent any loss of control
BMaking all decisions for the patient so that she does not feel burdened
CExplaining each procedure in advance and offering choices wherever possible
DAsking the patient to repeat the full trauma story to each new staff member
7.Sulit
A patient in a mental health unit asks to read his own health records. What is the correct general principle?
APatients generally have a right of access, with limited exceptions to prevent serious harm
BThe nurse should give him the records immediately without following any procedure
CPsychiatric patients are never allowed to see their records
DOnly his family can request access to his records on his behalf
8.Sulit
A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?
AHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
BHis usual methadone should continue, and additional analgesia is usually needed for acute pain
CHe should get no opioids at all, because of his history
DHis methadone should be stopped while he is in hospital
Kunci jawaban
1. B · Perawatan harus membatasi kebebasan pasien sesedikit mungkin sambil menjaga keselamatan pasien dan orang lain
2. A · Berkurangnya kebutuhan tidur dengan energi tinggi
3. D · They increase the risk of confusion, falls and fractures
4. C · Provide a quiet, low-stimulation environment and keep staff and patient safe
5. D · Thyroid function tests
6. C · Explaining each procedure in advance and offering choices wherever possible
7. A · Patients generally have a right of access, with limited exceptions to prevent serious harm
8. B · His usual methadone should continue, and additional analgesia is usually needed for acute pain
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