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Nama: ____________________ Tanggal: ____________
1.Mudah
A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?
A"Tell me what it has been like since she died."
B"Losing your wife must have been very hard for you."
C"It sounds very lonely without her."
D"Everybody feels that way sometimes. You'll get over it."
2.Mudah
In a mental status examination, what does assessing orientation check?
AWhether the patient understands that they are ill and needs treatment for it
BWhether the patient knows the time, the place and who they are
CWhether the patient's mood matches the facial expression and tone of voice
DWhether the patient can interpret proverbs and explain their meaning
3.Mudah
In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?
AAn idea of reference
BA delusion
CA hallucination
DAn illusion
4.Sedang
What is the main advantage of a long-acting injectable antipsychotic?
AIt works faster than any oral antipsychotic in an acute crisis
BIt has no side effects, unlike the oral forms of the same antipsychotic drugs
CIt improves adherence because the patient does not need to take daily tablets
DIt cures schizophrenia after a fixed course of injections
5.Sedang
What is the key difference between factitious disorder and malingering?
AThere is no real difference between them, and both terms mean exactly the same thing
BIn factitious disorder, the symptoms are not produced on purpose at all
CMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
DIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
6.Sedang
A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?
AExplain that it is a sign of an allergic reaction to the medicine
BStop the clozapine immediately, because this is a sign of agranulocytosis
CTell him that it means the clozapine dose is too low and needs to be increased
DRecognise it as a common side effect, report it and suggest a towel on the pillow
7.Sulit
Seorang pasien baru saja dipasang restrain fisik setelah perilaku kekerasan. Pengkajian mana yang menjadi prioritas tertinggi?
APernapasan dan sirkulasi, dengan observasi terus-menerus
BApakah pasien siap bergabung kembali dengan kegiatan kelompok
CPreferensi makanan pasien
DApakah pasien memahami mengapa restrain digunakan
8.Sulit
A woman who is being abused by her partner says she will not leave him. What is the most appropriate response?
ATell her that she must leave him today or the nurse cannot help her
BRespect her decision, give information about support services and help her make a safety plan
CCall her partner to discuss his behaviour with him
DTell her that if she stays and is hurt again, it will be her own fault because she was warned about the risks
Kunci jawaban
1. D · "Everybody feels that way sometimes. You'll get over it."
2. B · Whether the patient knows the time, the place and who they are
3. D · An illusion
4. C · It improves adherence because the patient does not need to take daily tablets
5. D · In factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
6. D · Recognise it as a common side effect, report it and suggest a towel on the pillow
7. A · Pernapasan dan sirkulasi, dengan observasi terus-menerus
8. B · Respect her decision, give information about support services and help her make a safety plan
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