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What is Russell's sign, seen in some patients with eating disorders?

1. AYellowing of the skin from eating a lot of carrots
2. BSwelling of the ankles and feet during the first days of refeeding in hospital
3. CCalluses or scars on the back of the hand from inducing vomiting
4. DFine, downy hair growing on the face and back

The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?

1. AOrientation
2. BJudgement
3. CRecent memory
4. DPerception

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

1. ASchizoid
2. BParanoid
3. CAvoidant
4. DHistrionic

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AGive her a lot of extra attention for the rest of the day
2. BTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
3. CIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
4. DScold her for breaking the ward rules and remove all her privileges

Prinsip mana yang berlaku untuk penggunaan restrain fisik?

1. ATidak perlu didokumentasikan
2. BPilihan terakhir ketika tindakan yang kurang membatasi gagal, dengan pemantauan ketat dan dilepas segera setelah aman
3. CDapat digunakan sebagai hukuman karena melanggar aturan
4. DDapat digunakan demi kenyamanan staf pada giliran jaga yang sibuk, asalkan didokumentasikan dan ditinjau oleh tim sesudahnya

In a therapy group, one member talks constantly and interrupts others. What should the group leader do?

1. ALet the member continue, because she has a lot to say
2. BAsk the member to leave the group permanently so that others can speak
3. CCriticise the member in front of the whole group so that she learns to stay quiet
4. DAcknowledge the member's contribution and invite others to share their views

Seorang pasien yang diobati untuk ketergantungan opioid akan menerima dosis pertama buprenorfin. Ia terakhir menggunakan heroin 2 jam yang lalu. Apa risikonya?

1. ABuprenorfin akan menambah efek heroin dan menyebabkan overdosis opioid yang berbahaya dengan depresi napas
2. BBuprenorfin tidak akan berefek sama sekali
3. CTidak ada risiko; harus diberikan segera
4. DBuprenorfin dapat menyebabkan putus obat terpicu (precipitated withdrawal) bila diberikan saat agonis penuh masih aktif

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. AAgree with the colleague and take no action at all
2. BTell the patient she is only seeking attention
3. CWait until the next morning to see if she still feels the same once the argument has settled down
4. DCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent