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Nama: ____________________ Tanggal: ____________
1.Mudah
What is anhedonia?
AA belief that one's body is diseased or rotting
BRapid, pressured speech that is hard to interrupt
CAn inability to fall asleep at night despite feeling very tired during the day
DLoss of interest or pleasure in activities that were enjoyed before
2.Mudah
Which measure has good evidence for reducing suicide deaths?
ARestricting access to lethal means, such as firearms or large supplies of medicines
BAvoiding the topic of suicide completely with people at risk
CAsking the patient to sign a no-suicide contract
DGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
3.Mudah
Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?
AFlashbacks of the traumatic event
BAvoiding places that remind the person of the event
CBeing easily startled by loud noises
DFeeling detached from family and friends
4.Sedang
A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?
APositive reinforcement
BDiagnostic overshadowing
CTransference
DSplitting by the patient
5.Sedang
A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?
AA low serum cholesterol
BA high haemoglobin
CA high serum potassium
DA low serum sodium
6.Sedang
Seorang pasien dalam episode manik terlalu sibuk untuk duduk makan. Apa cara terbaik untuk mendukung nutrisinya?
ABerkeras agar pasien duduk di meja selama 1 jam
BMenunggu sampai pasien meminta makanan
CMenawarkan makanan besar tiga hidangan di ruang makan yang ramai pada jam makan yang biasa
DMenawarkan makanan dan minuman tinggi kalori yang bisa dimakan sambil bergerak
7.Sulit
A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?
ATense each muscle group in turn for a few seconds, then let go and notice the difference
BHold your breath for as long as possible while lying completely still on the floor
CDo the exercise only during a panic attack, never at other times
DTense all your muscles at once and keep them tight for 10 minutes
8.Sulit
Seorang pasien yang diobati untuk ketergantungan opioid akan menerima dosis pertama buprenorfin. Ia terakhir menggunakan heroin 2 jam yang lalu. Apa risikonya?
ABuprenorfin dapat menyebabkan putus obat terpicu (precipitated withdrawal) bila diberikan saat agonis penuh masih aktif
BBuprenorfin akan menambah efek heroin dan menyebabkan overdosis opioid yang berbahaya dengan depresi napas
CBuprenorfin tidak akan berefek sama sekali
DTidak ada risiko; harus diberikan segera
Kunci jawaban
1. D · Loss of interest or pleasure in activities that were enjoyed before
2. A · Restricting access to lethal means, such as firearms or large supplies of medicines
3. A · Flashbacks of the traumatic event
4. B · Diagnostic overshadowing
5. D · A low serum sodium
6. D · Menawarkan makanan dan minuman tinggi kalori yang bisa dimakan sambil bergerak
7. A · Tense each muscle group in turn for a few seconds, then let go and notice the difference
8. A · Buprenorfin dapat menyebabkan putus obat terpicu (precipitated withdrawal) bila diberikan saat agonis penuh masih aktif
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