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Nama: ____________________ Tanggal: ____________
1.Mudah
Which statement about self-disclosure by the nurse is correct?
AIt should be used often to build friendship with the patient
BIt is never allowed in any situation
CIt is helpful when the nurse shares personal problems in detail
DIt should be brief, rare and used only to help the patient
2.Mudah
A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?
AGiving recognition
BReflecting feelings
CSeeking clarification
DOffering self
3.Mudah
Setelah dikritik oleh atasannya, seorang perempuan pulang dan membentak anak-anaknya. Mekanisme pertahanan diri apa ini?
APengalihan (displacement)
BPenyangkalan
CPembatalan (undoing)
DPembentukan reaksi
4.Sedang
Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?
AChange the rules for this patient to avoid conflict
BGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
CState the rule and the consequence clearly, and make sure all staff apply it consistently
DLet each nurse decide on the day whether to apply the rules
5.Sedang
Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?
AIt causes permanent memory loss after a single dose
BIt can cause sudden withdrawal and seizures
CIt causes a dangerous rise in blood sugar
DIt makes the benzodiazepine effect much stronger
6.Sedang
Prinsip mana yang berlaku untuk penggunaan restrain fisik?
ADapat digunakan sebagai hukuman karena melanggar aturan
BPilihan terakhir ketika tindakan yang kurang membatasi gagal, dengan pemantauan ketat dan dilepas segera setelah aman
CTidak perlu didokumentasikan
DDapat digunakan demi kenyamanan staf pada giliran jaga yang sibuk, asalkan didokumentasikan dan ditinjau oleh tim sesudahnya
7.Sulit
A patient who is detained under mental health legislation refuses his prescribed oral antipsychotic. What is the correct general principle?
ADetained patients have no right to refuse any treatment at all
BThe nurse may hide the medicine in his food without any further process
CTreatment without consent is lawful only under the conditions and procedures set by the law
DThe refusal must always be accepted, even if the law allows treatment without consent
8.Sulit
Tiga minggu setelah mulai mengonsumsi klozapin, seorang pasien mengalami nyeri dada, denyut jantung istirahat 125/menit, dan demam. Apa yang harus dicurigai perawat?
AKonstipasi
BMiokarditis, yang memerlukan penilaian medis segera
CEfek samping normal yang akan mereda
DSerangan kecemasan
Kunci jawaban
1. D · It should be brief, rare and used only to help the patient
2. C · Seeking clarification
3. A · Pengalihan (displacement)
4. C · State the rule and the consequence clearly, and make sure all staff apply it consistently
5. B · It can cause sudden withdrawal and seizures
6. B · Pilihan terakhir ketika tindakan yang kurang membatasi gagal, dengan pemantauan ketat dan dilepas segera setelah aman
7. C · Treatment without consent is lawful only under the conditions and procedures set by the law
8. B · Miokarditis, yang memerlukan penilaian medis segera
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