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Nama: ____________________ Tanggal: ____________
1.Mudah
Which group of features is typical of dementia with Lewy bodies?
AMemory loss only, with no other symptoms or changes in alertness for many years
BEarly personality change and loss of social inhibition
CSudden step-by-step decline after small strokes
DFluctuating alertness, detailed visual hallucinations and parkinsonism
2.Mudah
A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?
ARationalisation
BSuppression
CIdentification
DProjection
3.Mudah
Which pattern of decline is typical of vascular dementia?
AComplete recovery within a few weeks
BRapid improvement after starting antipsychotic medicine
CVery gradual and steady from the start, without sudden changes
DStepwise, with sudden worsening after each new vascular event
4.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
BBehind the patient and close to him, so that the patient does not feel threatened by eye contact
CDirectly face to face, as close as possible, to show confidence
DBetween the patient and the wall, so the patient can leave easily
5.Sedang
The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?
AIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
BGive it just before bedtime so that it works overnight
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
6.Sedang
What is the CIWA-Ar scale used for?
ARating the severity of alcohol withdrawal to guide treatment
BMeasuring the depth of sedation in patients on a ventilator in intensive care
CMeasuring the risk of falls in hospital
DScreening for dementia in older adults
7.Sulit
Seorang pasien yang stabil dengan litium memberi tahu perawat bahwa ia mulai mengonsumsi ibuprofen setiap hari untuk nyeri punggung. Apa yang harus dilakukan perawat?
AMenyuruhnya juga mengonsumsi diuretik untuk pembengkakan
BMemberi tahu penulis resep, karena ibuprofen dapat menaikkan litium ke kadar toksik
CMengatakan bahwa tidak apa-apa, karena ibuprofen dijual bebas dan aman
DMenyarankannya menggandakan dosis litiumnya
8.Sulit
During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?
AAnswer briefly or decline politely, then return the focus to the patient
BIgnore the question completely and stay silent until the patient changes the subject
CEnd the session because personal questions are not allowed
DShare details about the nurse's family to build a friendship
Kunci jawaban
1. D · Fluctuating alertness, detailed visual hallucinations and parkinsonism
2. C · Identification
3. D · Stepwise, with sudden worsening after each new vascular event
4. A · At a safe distance, slightly to the side, with a clear exit available
5. C · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
6. A · Rating the severity of alcohol withdrawal to guide treatment
7. B · Memberi tahu penulis resep, karena ibuprofen dapat menaikkan litium ke kadar toksik
8. A · Answer briefly or decline politely, then return the focus to the patient
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