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Nama: ____________________ Tanggal: ____________
1.Mudah
A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?
AAvoidant
BAntisocial
CNarcissistic
DSchizoid
2.Mudah
What is separation anxiety disorder in a child?
AFear of social situations in which other children may laugh at them
BExcessive, developmentally inappropriate fear of being apart from attachment figures
CNormal crying when a baby meets a stranger for the first time
DA lack of interest in parents and other close carers, with no distress when they leave
3.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?
ASeeking clarification
BReflecting feelings
CGiving recognition
DOffering self
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
A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?
AAbout 2–3 weeks after the last drink
BOnly after 7 days without alcohol
CAbout 6–24 hours after the last drink
DWithin 5 minutes of the last drink
6.Sedang
Seorang pasien skizofrenia berkata, "Suara-suara itu bilang saya jahat." Respons mana yang terbaik?
A"Mari kita tidak membicarakan suara-suara itu dulu. Ceritakan saja tentang keluarga dan rencana Anda."
B"Kalau Anda mendengar suara-suara, Anda pasti sangat sakit."
C"Saya tidak mendengar suara-suara itu, tetapi saya bisa melihat suara-suara itu mengganggu Anda. Apa yang mereka katakan kepada Anda?"
D"Suara-suara itu tidak nyata, jadi abaikan saja."
7.Sulit
Seorang pasien yang mengonsumsi klozapin bersuhu 38,5 °C dan nyeri tenggorok. Apa prioritasnya?
AMenunggu sampai pemeriksaan darah rutin berikutnya
BSegera melaporkannya agar hitung darah lengkap dengan neutrofil dapat diperiksa sebelum dosis berikutnya
CMengatakan kepada pasien bahwa ini mungkin pilek biasa, menganjurkan banyak minum, dan melanjutkan klozapin seperti biasa
DMemberikan parasetamol dan melanjutkan klozapin seperti biasa
8.Sulit
A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?
AHis methadone should be stopped while he is in hospital
BHe should get no opioids at all, because of his history
CHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
DHis usual methadone should continue, and additional analgesia is usually needed for acute pain
Kunci jawaban
1. A · Avoidant
2. B · Excessive, developmentally inappropriate fear of being apart from attachment figures
3. A · Seeking clarification
4. C · It improves adherence because the patient does not need to take daily tablets
5. C · About 6–24 hours after the last drink
6. C · "Saya tidak mendengar suara-suara itu, tetapi saya bisa melihat suara-suara itu mengganggu Anda. Apa yang mereka katakan kepada Anda?"
7. B · Segera melaporkannya agar hitung darah lengkap dengan neutrofil dapat diperiksa sebelum dosis berikutnya
8. D · His usual methadone should continue, and additional analgesia is usually needed for acute pain
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