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Nama: ____________________ Tanggal: ____________
1.Mudah
Which medicine is commonly used to treat antipsychotic-induced akathisia?
ALithium
BPropranolol
CHaloperidol
DBupropion
2.Mudah
What is countertransference?
AThe transfer of a patient's care to another nurse at the end of a shift
BThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
CThe patient's feelings towards the nurse, based on earlier relationships
DThe patient repeating the nurse's words and gestures without understanding their meaning
3.Mudah
A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?
ACatastrophising
BEmotional reasoning
CPersonalisation
DAll-or-nothing thinking
4.Sedang
A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?
AThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
BThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
CThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
DThese are signs of an allergic reaction, so she should never take lithium again
5.Sedang
Which risk applies when antipsychotics are used in older people with dementia?
AA lower risk of falls than with no medicine at all
BImproved memory within a few days
CAn increased risk of stroke and death
DA guaranteed cure of the dementia
6.Sedang
How should a patient with anorexia nervosa be weighed in hospital?
AAt the same time, on the same scale, in a gown, after emptying the bladder
BIn her own clothes and shoes after breakfast, so that she feels more comfortable
CAt a different time each day so that she cannot prepare for it
DOnly when she asks to be weighed, to respect her wishes
7.Sulit
A nurse is teaching a patient who has started haloperidol for schizophrenia. Which statement shows a need for further teaching?
A"I should get up slowly if I feel dizzy."
B"I should tell the nurse if my neck or jaw muscles feel stiff."
C"I can stop taking it as soon as the voices go away."
D"I'll avoid alcohol while I'm taking this medicine."
8.Sulit
A depressed patient says, "I don't enjoy anything any more, so there's no point in doing anything." Which intervention best reflects behavioural activation?
AEncourage him to rest in bed as much as possible until the medicine works
BWait until his mood improves before suggesting activities
CTell him that his thoughts are irrational and he should stop thinking that way
DPlan small, scheduled activities with him and review how he felt afterwards
Kunci jawaban
1. B · Propranolol
2. B · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
3. C · Personalisation
4. A · These are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
5. C · An increased risk of stroke and death
6. A · At the same time, on the same scale, in a gown, after emptying the bladder
7. C · "I can stop taking it as soon as the voices go away."
8. D · Plan small, scheduled activities with him and review how he felt afterwards
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