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Nama: ____________________ Tanggal: ____________
1.Mudah
What type of drug is methadone, used in the treatment of opioid dependence?
AAn opioid antagonist that blocks all opioid effects
BA benzodiazepine that reduces anxiety during withdrawal
CA non-addictive stimulant that reduces opioid craving
DA long-acting full opioid agonist
2.Mudah
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
ASexual abuse
BFinancial abuse
CSelf-neglect by the father
DPhysical abuse
3.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
4.Sedang
When is the best time to teach a patient with an anxiety disorder a relaxation technique?
AWhen the patient's anxiety is severe, so that the effect can be seen clearly
BWhen the patient's anxiety is at a mild level
CDuring a panic attack, when the patient needs it most
DOnly after the patient has been discharged from hospital
5.Sedang
Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?
AIt causes permanent memory loss after a single dose
BIt causes a dangerous rise in blood sugar
CIt can cause sudden withdrawal and seizures
DIt makes the benzodiazepine effect much stronger
6.Sedang
What should a patient taking chlorpromazine be taught about sun exposure?
ASunbathe for longer each day to improve mood
BUse sunscreen and protective clothing, because the skin may burn easily
CAvoid going outside at all, even in winter, for the rest of his life
DSun exposure has no effect while taking this medicine
7.Sulit
A patient who was admitted after a serious suicide attempt says, "I'm angry they saved me. Next time I'll do it properly." What should the nurse do?
AMaintain close observation, report the statement and reassess the risk with the team
BReduce observation because he is talking openly about his feelings
CTell him that he should be grateful to be alive and think about how his family would feel
DChange the subject to something more positive, such as his family and his plans for after discharge
8.Sulit
A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?
AStop answering her calls, because the symptoms are imaginary
BAsk the doctor to order new tests every time she reports a symptom
CTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
DArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
Kunci jawaban
1. D · A long-acting full opioid agonist
2. B · Financial abuse
3. B · Psychomotor retardation
4. B · When the patient's anxiety is at a mild level
5. C · It can cause sudden withdrawal and seizures
6. B · Use sunscreen and protective clothing, because the skin may burn easily
7. A · Maintain close observation, report the statement and reassess the risk with the team
8. D · Arrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
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