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Nama: ____________________ Tanggal: ____________
1.Mudah
Which medicine may be used to treat moderate serotonin syndrome?
ASertraline
BCyproheptadine
CTramadol
DPhenelzine
2.Mudah
Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?
AAlzheimer's disease
BBorderline personality disorder
CSchizophrenia
DAttention-deficit hyperactivity disorder
3.Mudah
The SOLER approach is a guide to which aspect of communication?
ADocumenting patient records accurately
BAssessing the risk of suicide
CNon-verbal attending behaviour
DWriting nursing care plans
4.Sedang
A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?
AThe two drugs together cause severe hair growth
BLamotrigine will lower the valproate level until it has no effect
CValproate makes lamotrigine work faster, so the dose must be increased quickly
DValproate raises lamotrigine levels, which increases the risk of a serious rash
5.Sedang
How should the nurse position herself when talking to an agitated patient?
AAt a safe distance, slightly to the side, with a clear exit available
BDirectly face to face, as close as possible, to show confidence
CBehind the patient and close to him, so that the patient does not feel threatened by eye contact
DBetween the patient and the wall, so the patient can leave easily
6.Sedang
Apa trias klasik ensefalopati Wernicke?
AHanya sakit kepala, muntah, dan penglihatan kabur
BTremor, kekakuan, dan gerakan lambat
CKebingungan, ataksia, dan gerakan mata abnormal
DDemam, ruam, dan kaku kuduk
7.Sulit
Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?
AIt means she has delirium and needs urgent tests
BIt proves she has severe major depression with psychosis
CIt is a sign of schizophrenia that needs antipsychotic medicine
DBrief experiences like this can be part of normal grief
8.Sulit
A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?
ALook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
BDiagnose late-onset schizophrenia and start an antipsychotic immediately
CAssume it is normal ageing and take no action
DAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
Kunci jawaban
1. B · Cyproheptadine
2. B · Borderline personality disorder
3. C · Non-verbal attending behaviour
4. D · Valproate raises lamotrigine levels, which increases the risk of a serious rash
5. A · At a safe distance, slightly to the side, with a clear exit available
6. C · Kebingungan, ataksia, dan gerakan mata abnormal
7. D · Brief experiences like this can be part of normal grief
8. A · Look for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
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