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Nama: ____________________ Tanggal: ____________
1.Mudah
Which pattern of decline is typical of vascular dementia?
AStepwise, with sudden worsening after each new vascular event
BVery gradual and steady from the start, without sudden changes
CComplete recovery within a few weeks
DRapid improvement after starting antipsychotic medicine
2.Mudah
Seorang pasien berbicara cepat, melompat dari satu topik ke topik lain, dengan setiap gagasan terkait longgar dengan yang sebelumnya. Apa sebutannya?
AMiskin bicara
BPemblokiran pikiran (thought blocking)
CPerseverasi
DPikiran melompat (flight of ideas)
3.Mudah
Efek samping mana yang bersifat antikolinergik?
AMulut kering, konstipasi, retensi urine, dan penglihatan kabur
BDiare, berkeringat, mata berair, dan peningkatan produksi air liur
CGlukosa darah rendah dan penurunan berat badan
DDemam tinggi dan ruam
4.Sedang
Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?
AChange the rules for this patient to avoid conflict
BGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
CState the rule and the consequence clearly, and make sure all staff apply it consistently
DLet each nurse decide on the day whether to apply the rules
5.Sedang
How should a nurse screen a patient for intimate partner violence?
AAsk in front of the partner to see how he reacts
BAsk the partner instead of the patient
CAsk in private, without the partner or family present
DOnly ask patients who have visible injuries
6.Sedang
A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?
ANihilistic
BGrandiose
CErotomanic
DSomatic
7.Sulit
In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?
AShe may be showing resistance as painful topics come closer, which the nurse can gently explore
BShe is being rude to the nurse on purpose and should be warned
CShe no longer needs any help, so the sessions should end at once
DThe nurse has made a serious mistake and should hand her care to a colleague immediately
8.Sulit
Seorang pasien mulai mengonsumsi antidepresan 10 hari yang lalu. Ia mengatakan kini lebih berenergi, tetapi masih merasa putus asa. Mengapa ini perlu dipantau dengan cermat?
AEnergi dapat kembali sebelum suasana hati membaik, yang dapat meningkatkan risiko ia bertindak berdasarkan pikiran bunuh diri
BBerarti dosisnya terlalu rendah, sehingga antidepresan harus dihentikan dan segera diganti dengan yang lain
CIni tanda sindrom serotonin
DBerarti antidepresan telah bekerja sepenuhnya
Kunci jawaban
1. A · Stepwise, with sudden worsening after each new vascular event
2. D · Pikiran melompat (flight of ideas)
3. A · Mulut kering, konstipasi, retensi urine, dan penglihatan kabur
4. C · State the rule and the consequence clearly, and make sure all staff apply it consistently
5. C · Ask in private, without the partner or family present
6. C · Erotomanic
7. A · She may be showing resistance as painful topics come closer, which the nurse can gently explore
8. A · Energi dapat kembali sebelum suasana hati membaik, yang dapat meningkatkan risiko ia bertindak berdasarkan pikiran bunuh diri
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