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Nama: ____________________ Tanggal: ____________
1.Mudah
Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?
AParanoid, schizoid and schizotypal
BAntisocial, borderline, histrionic and narcissistic
CAvoidant, dependent and obsessive-compulsive
DHistrionic, dependent and schizoid
2.Mudah
Mengapa tiamin (vitamin B1) diberikan kepada pasien dengan ketergantungan alkohol?
AUntuk membuat rasa alkohol tidak enak
BUntuk mengurangi keinginan kuat (craving) akan alkohol
CUntuk mencegah atau mengobati ensefalopati Wernicke
DUntuk mengobati sirosis hati
3.Mudah
Overdosis opioid telah dibalikkan dengan nalokson, dan pasien kini sadar. Mengapa ia tetap harus diobservasi dengan ketat?
ATidak perlu mengobservasinya setelah ia sadar
BNalokson membuat opioid bekerja dua kali lebih lama
CNalokson sendiri menyebabkan napas lambat beberapa jam kemudian saat dipecah
DNalokson mungkin habis efeknya sebelum opioid, sehingga napasnya dapat melambat lagi
4.Sedang
The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?
AGive it just before bedtime so that it works overnight
BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
CGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
DIt causes weight gain, so offer fewer snacks during the day
5.Sedang
Which physical finding is common in bulimia nervosa?
AA high serum potassium level
BVery low body weight with lanugo hair
CRaised blood pressure, a fast pulse and a high temperature
DSwelling of the salivary glands at the angle of the jaw
6.Sedang
Beberapa jam setelah dosis pertama haloperidol, leher seorang pemuda terpuntir ke satu sisi dan matanya berputar ke atas. Apa ini?
ADistonia akut
BSindrom serotonin
CDiskinesia tardif
DSindrom neuroleptik maligna
7.Sulit
A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?
ALithium toxicity
BSerotonin syndrome
CPancreatitis
DSimple indigestion
8.Sulit
A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?
AHis anger may be part of grief, displaced onto staff, so she should not take it personally
BHe has antisocial personality disorder that was not noticed before
CHe should be told that his behaviour is unacceptable and that visits will be stopped
DHe does not care about his wife's death and is using it as an excuse to be rude
Kunci jawaban
1. C · Avoidant, dependent and obsessive-compulsive
2. C · Untuk mencegah atau mengobati ensefalopati Wernicke
3. D · Nalokson mungkin habis efeknya sebelum opioid, sehingga napasnya dapat melambat lagi
4. C · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
5. D · Swelling of the salivary glands at the angle of the jaw
6. A · Distonia akut
7. C · Pancreatitis
8. A · His anger may be part of grief, displaced onto staff, so she should not take it personally
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