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Nama: ____________________ Tanggal: ____________
1.Mudah
Why are benzodiazepines used with caution in older adults?
AThey have no effect on the brain in older people
BThey raise blood pressure to dangerous levels after a single dose
CThey cause rapid weight gain and diabetes in all older adults
DThey increase the risk of confusion, falls and fractures
2.Mudah
A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?
APersonalisation
BAll-or-nothing thinking
CEmotional reasoning
DCatastrophising
3.Mudah
What is trichotillomania?
AHair loss caused by lithium treatment
BA fear of hair, combs and hairdressers
CRepeatedly pulling out one's own hair, leading to hair loss
DA fungal infection of the scalp that is common in people with OCD
4.Sedang
Which question is the best way to ask a patient about suicidal thoughts?
A"You're not thinking of doing anything silly, are you?"
B"Things aren't that bad, are they?"
C"Are you having thoughts of killing yourself?"
D"You wouldn't hurt yourself, would you?"
5.Sedang
A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?
AGrandiose
BErotomanic
CNihilistic
DSomatic
6.Sedang
A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?
AThe patient will let staff make all her decisions while in hospital
BThe patient will avoid contact with others until she feels more confident
CThe patient will move in with a relative who can make decisions for her
DThe patient will make small everyday decisions on her own
7.Sulit
Seorang pasien dalam episode manik menyela pasien lain dan semakin keras di ruang bersama. Apa tindakan keperawatan yang paling tepat?
ADengan tenang mengarahkan pasien ke area yang lebih sepi dengan stimulasi lebih sedikit dan menetapkan batasan yang jelas dan sederhana
BMenganjurkan permainan kelompok yang kompetitif untuk menghabiskan energi
CMenaikkan volume musik untuk mengalihkan perhatian kelompok
DBerdebat dengan pasien tentang perilakunya di depan semua orang sampai pasien setuju berhenti
8.Sulit
Kadar litium seorang pasien adalah 1,8 mmol/L. Ia mengatakan merasa baik-baik saja selain mual ringan. Apa yang harus dilakukan perawat?
AMengulang tes dalam 1 bulan
BMenaikkan dosis untuk mencegah kekambuhan
CMenahan dosis berikutnya dan segera memberi tahu penulis resep
DMemberikan dosis berikutnya, karena ia merasa baik-baik saja
Kunci jawaban
1. D · They increase the risk of confusion, falls and fractures
2. A · Personalisation
3. C · Repeatedly pulling out one's own hair, leading to hair loss
4. C · "Are you having thoughts of killing yourself?"
5. A · Grandiose
6. D · The patient will make small everyday decisions on her own
7. A · Dengan tenang mengarahkan pasien ke area yang lebih sepi dengan stimulasi lebih sedikit dan menetapkan batasan yang jelas dan sederhana
8. C · Menahan dosis berikutnya dan segera memberi tahu penulis resep
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