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Nama: ____________________ Tanggal: ____________
1.Mudah
The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?
AGiving advice
BPresenting reality
COffering self
DPlacing the event in sequence
2.Mudah
Which pattern of decline is typical of vascular dementia?
AVery gradual and steady from the start, without sudden changes
BComplete recovery within a few weeks
CRapid improvement after starting antipsychotic medicine
DStepwise, with sudden worsening after each new vascular event
3.Mudah
A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?
A"Losing your wife must have been very hard for you."
B"Everybody feels that way sometimes. You'll get over it."
C"It sounds very lonely without her."
D"Tell me what it has been like since she died."
4.Sedang
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
ADrink a cup of strong coffee before getting out of bed each morning
BSit on the edge of the bed for a moment and then stand up slowly
CGet up quickly to get the blood flowing to the brain
DStop the medicine if the dizziness happens more than once
5.Sedang
How should a patient take sublingual buprenorphine-naloxone tablets?
ALet the tablet dissolve completely under the tongue without chewing or swallowing it
BChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
CCrush the tablet and mix it with a spoonful of soft food such as yoghurt
DSwallow the tablet whole with a large glass of water
6.Sedang
A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?
A"Please stop asking about her now and finish your lunch before it gets cold."
B"Your mother will visit you later this afternoon."
C"Your mother died 30 years ago. You know that."
D"You're thinking about your mother. Tell me about her."
7.Sulit
A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?
AReassure him that young people do not have heart problems
BTreat it as a possible heart attack, with an urgent ECG and medical review
CLet him rest, because the pain will pass when the drug wears off
DGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
8.Sulit
A 15-year-old tells the school nurse she has been cutting herself and asks her not to tell her parents. What is the best response?
ATell her that cutting is a phase that many teenagers go through and it needs no help
BPhone her parents at once without telling her
CPromise never to tell anyone about it, so that she keeps trusting the school nurse
DExplain that safety information must be shared, and involve her in how this is done
Kunci jawaban
1. C · Offering self
2. D · Stepwise, with sudden worsening after each new vascular event
3. B · "Everybody feels that way sometimes. You'll get over it."
4. B · Sit on the edge of the bed for a moment and then stand up slowly
5. A · Let the tablet dissolve completely under the tongue without chewing or swallowing it
6. D · "You're thinking about your mother. Tell me about her."
7. B · Treat it as a possible heart attack, with an urgent ECG and medical review
8. D · Explain that safety information must be shared, and involve her in how this is done
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