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Nama: ____________________ Tanggal: ____________
1.Mudah
What is malingering?
AIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
BPhysical symptoms caused by stress that the person does not produce on purpose
CExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors
DProducing symptoms on purpose to take on the role of a sick person, without any external gain
2.Mudah
Pasien yang mengonsumsi penghambat monoamin oksidase (MAOI) harus menghindari jenis makanan apa?
AMakanan tinggi tiramin, seperti keju matang dan daging olahan yang diawetkan
BSusu segar dan yoghurt tawar, karena kandungan kalsiumnya
CNasi dan pasta
DSayuran segar
3.Mudah
Which question is open-ended?
A"Are you feeling sad today?"
B"What has been on your mind today?"
C"Have you taken your medicine yet?"
D"Did you sleep well last night?"
4.Sedang
A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?
AExercise as hard as possible in the heat to burn off the extra weight
BAvoid all fluids so that there is less need to find a toilet
CDrink enough fluids and avoid overheating, because the medicine can affect temperature control
DStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
5.Sedang
A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?
AStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
BArgue with him that what he sees is not real until he accepts it
CLeave him alone in a dark room so that he can sleep it off
DShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
6.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
CLet each nurse decide on the day whether to apply the rules
DState the rule and the consequence clearly, and make sure all staff apply it consistently
7.Sulit
Sehari sebelum pulang, seorang pasien depresi berkata, "Sebentar lagi saya akhirnya akan tenang dan tidak menjadi beban bagi siapa pun." Apa yang harus dilakukan perawat?
AMencatat ucapannya dalam rekam medis dan membiarkan kepulangan berjalan seperti direncanakan, tanpa tindakan lebih lanjut
BMengatakan bahwa ia akan merasa lebih baik di rumah
CMenanyakan langsung apakah ia berpikir untuk bunuh diri dan memberi tahu tim sebelum kepulangan dilanjutkan
DBerasumsi bahwa ia lega akan pulang
8.Sulit
A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?
AArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
BTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
CStop answering her calls, because the symptoms are imaginary
DAsk the doctor to order new tests every time she reports a symptom
Kunci jawaban
1. A · Intentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
2. A · Makanan tinggi tiramin, seperti keju matang dan daging olahan yang diawetkan
3. B · "What has been on your mind today?"
4. C · Drink enough fluids and avoid overheating, because the medicine can affect temperature control
5. A · Stay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
6. D · State the rule and the consequence clearly, and make sure all staff apply it consistently
7. C · Menanyakan langsung apakah ia berpikir untuk bunuh diri dan memberi tahu tim sebelum kepulangan dilanjutkan
8. A · Arrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
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