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Nama: ____________________ Tanggal: ____________
1.Mudah
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
AAkathisia
BPsychomotor retardation
CPsychomotor agitation
DCatatonic excitement
2.Mudah
Seorang pria yang tertarik pada rekan kerjanya menuduh istrinya ingin berselingkuh. Mekanisme pertahanan diri apa ini?
ARasionalisasi
BRegresi
CProyeksi
DSupresi
3.Mudah
Seorang anak berusia 6 tahun yang dirawat di rumah sakit mulai mengisap ibu jari dan mengompol lagi. Mekanisme pertahanan diri apa ini?
AIntelektualisasi
BSublimasi
CProyeksi
DRegresi
4.Sedang
An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?
AIt raises blood pressure to dangerous levels in older adults
BIts anticholinergic effects can cause confusion, urine retention and falls
CIt is a strong opioid that causes severe dependence
DIt has no effects at all in people over 80, so it will not help her sleep
5.Sedang
How may depression present differently in adolescents than in adults?
AAlways with psychotic symptoms
BWith increased energy and less need for sleep
CWith a high fever and a rash
DWith irritability rather than obvious sadness
6.Sedang
The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?
APossible boundary problems that she should discuss in supervision
BThat the patient needs to be transferred to another unit
CAn ideal therapeutic relationship
DTransference by the patient towards the nurse, which is never the nurse's concern
7.Sulit
An 82-year-old started amitriptyline last week. Which finding is most concerning?
AMild constipation that responds to extra fluids and fibre in the diet
BA slightly dry mouth
CNew confusion and difficulty passing urine
DFeeling a little drowsy in the evening
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?
AMenahan dosis berikutnya dan segera memberi tahu penulis resep
BMenaikkan dosis untuk mencegah kekambuhan
CMengulang tes dalam 1 bulan
DMemberikan dosis berikutnya, karena ia merasa baik-baik saja
Kunci jawaban
1. B · Psychomotor retardation
2. C · Proyeksi
3. D · Regresi
4. B · Its anticholinergic effects can cause confusion, urine retention and falls
5. D · With irritability rather than obvious sadness
6. A · Possible boundary problems that she should discuss in supervision
7. C · New confusion and difficulty passing urine
8. A · Menahan dosis berikutnya dan segera memberi tahu penulis resep
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