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Nama: ____________________ Tanggal: ____________
1.Mudah
A patient smiles and laughs while describing the death of her son. How is this affect described?
AIncongruent
BEuthymic
CCongruent
DRestricted but appropriate
2.Mudah
What is anticipatory grief?
AGrief that is hidden from others because the loss is not openly recognised or socially accepted
BGrief that never ends and stops the person from functioning
CGrief that begins before an expected loss, such as during a terminal illness
DGrief that appears for the first time many years after a loss
3.Mudah
In Freud's theory of personality, what is the role of the ego?
ATo store all forgotten memories from childhood
BTo balance the demands of the id, the superego and reality
CTo seek immediate pleasure regardless of the consequences
DTo act as the moral conscience that creates guilt
4.Sedang
Kumpulan temuan mana yang menunjukkan sindrom neuroleptik maligna?
ATremor halus dan rasa haus yang meningkat
BKenaikan berat badan dan glukosa darah meningkat
CHiperrefleksia, klonus, diare, pupil melebar, dan agitasi dalam hitungan jam setelah obat serotonergik baru
DDemam tinggi, kekakuan otot "pipa timah" yang berat, kebingungan, tekanan darah tidak stabil, dan CK meningkat
5.Sedang
A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?
ARespond with similar comments to build rapport
BAvoid the patient for the rest of the shift
CCalmly say that the comments are not acceptable and redirect him
DLaugh at the comments so he does not feel rejected
6.Sedang
How should the nurse position herself when talking to an agitated patient?
ABehind the patient and close to him, so that the patient does not feel threatened by eye contact
BBetween the patient and the wall, so the patient can leave easily
CDirectly face to face, as close as possible, to show confidence
DAt a safe distance, slightly to the side, with a clear exit available
7.Sulit
A patient who had been abstinent from alcohol for 6 months has started drinking again. He says, "I've failed completely. There's no point in trying." What is the most helpful response?
A"Relapse is common in recovery. Let's look at what led to it and what you learned."
B"You'll have to start a completely new treatment from the beginning."
C"Yes, I'm afraid you've wasted all of your hard work over the last six months."
D"You obviously weren't serious about stopping."
8.Sulit
A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?
ALet him leave, because voluntary patients can always go when they want
BTell him to go home now and come back tomorrow morning when he feels calmer and safer
CAsk him to promise that he will not jump, and then let him go home on his own
DStay with him and inform the team at once, so he can be urgently assessed under mental health law
Kunci jawaban
1. A · Incongruent
2. C · Grief that begins before an expected loss, such as during a terminal illness
3. B · To balance the demands of the id, the superego and reality
4. D · Demam tinggi, kekakuan otot "pipa timah" yang berat, kebingungan, tekanan darah tidak stabil, dan CK meningkat
5. C · Calmly say that the comments are not acceptable and redirect him
6. D · At a safe distance, slightly to the side, with a clear exit available
7. A · "Relapse is common in recovery. Let's look at what led to it and what you learned."
8. D · Stay with him and inform the team at once, so he can be urgently assessed under mental health law
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