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Nama: ____________________ Tanggal: ____________
1.Mudah
Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?
ARestating
BExploring
CFocusing
DSummarising
2.Mudah
Which type of hallucination is most common in schizophrenia?
AOlfactory
BAuditory
CVisual
DTactile
3.Mudah
Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?
AHaloperidol
BFluoxetine
CLithium
DDantrolene
4.Sedang
An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?
AHide the medicine in his drink without telling him
BGive an intramuscular injection at once without offering any choice
COffer the oral medicine first, before considering an injection
DPlace him in seclusion and then decide about medicine later
5.Sedang
A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?
A"I'll avoid aged cheese and cured meats."
B"I'll tell any new doctor or dentist that I take an MAOI."
C"A sudden severe headache is a reason to get help straight away."
D"I can take any cold and flu remedy from the pharmacy."
6.Sedang
A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?
AA dangerous rise in blood pressure after eating foods that contain tyramine
BSigns of physical dependence, because it is a controlled stimulant
CNew or worsening suicidal thoughts or unusual changes in mood or behaviour
DSevere weight gain in the first week
7.Sulit
The daughter of a man with moderate dementia says she is exhausted, is not sleeping and feels guilty for getting angry with him. What is the most helpful nursing response?
AAdvise her to take on more responsibility for his care so that she feels less guilty
BAcknowledge her strain and discuss support such as respite care and carers' groups
CTell her that good daughters do not get angry with their parents
DSuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
8.Sulit
A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?
ATell her that she will be evicted unless everything is thrown away today
BIgnore the clutter, because it is her own home
CArrange for the whole house to be cleared while she is out
DWork with her to clear the exits first, then agree a gradual plan together
Kunci jawaban
1. D · Summarising
2. B · Auditory
3. D · Dantrolene
4. C · Offer the oral medicine first, before considering an injection
5. D · "I can take any cold and flu remedy from the pharmacy."
6. C · New or worsening suicidal thoughts or unusual changes in mood or behaviour
7. B · Acknowledge her strain and discuss support such as respite care and carers' groups
8. D · Work with her to clear the exits first, then agree a gradual plan together
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