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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
CRapid improvement after starting antipsychotic medicine
DComplete recovery within a few weeks
2.Mudah
Which measure has good evidence for reducing suicide deaths?
ARestricting access to lethal means, such as firearms or large supplies of medicines
BGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
CAvoiding the topic of suicide completely with people at risk
DAsking the patient to sign a no-suicide contract
3.Mudah
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
AMaintenance of change
BPreparation
CContemplation
DPrecontemplation
4.Sedang
Which statement about benzodiazepines in anxiety disorders is correct?
AThey take 4–6 weeks to have any effect on anxiety, like antidepressants
BThey are the preferred long-term treatment for generalised anxiety disorder
CThey give rapid relief but are generally used only short-term because of tolerance and dependence
DThey are safe to stop suddenly after many months of daily use
5.Sedang
When is the risk of suicide particularly high for patients after psychiatric inpatient care?
AOnly after one year at home
BIn the first weeks after discharge
COnly while the patient is asleep in hospital
DThere is no change in risk after discharge
6.Sedang
Which nurse statement is most consistent with motivational interviewing?
A"You're an alcoholic, and you need to admit it."
B"If you don't stop drinking now, you'll die."
C"What would be different for you if you drank less?"
D"I've decided that you need to stop drinking completely."
7.Sulit
Seorang pasien yang mengonsumsi klozapin bersuhu 38,5 °C dan nyeri tenggorok. Apa prioritasnya?
AMengatakan kepada pasien bahwa ini mungkin pilek biasa, menganjurkan banyak minum, dan melanjutkan klozapin seperti biasa
BMemberikan parasetamol dan melanjutkan klozapin seperti biasa
CSegera melaporkannya agar hitung darah lengkap dengan neutrofil dapat diperiksa sebelum dosis berikutnya
DMenunggu sampai pemeriksaan darah rutin berikutnya
8.Sulit
A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?
AAsking the assistant to sit with a calm patient during a group art activity and report any concerns
BAsking the assistant to help a patient with personal hygiene
CAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
DAsking the assistant to take routine vital signs of a stable patient
Kunci jawaban
1. A · Stepwise, with sudden worsening after each new vascular event
2. A · Restricting access to lethal means, such as firearms or large supplies of medicines
3. D · Precontemplation
4. C · They give rapid relief but are generally used only short-term because of tolerance and dependence
5. B · In the first weeks after discharge
6. C · "What would be different for you if you drank less?"
7. C · Segera melaporkannya agar hitung darah lengkap dengan neutrofil dapat diperiksa sebelum dosis berikutnya
8. C · Asking the assistant to decide whether a patient needs a second dose of a PRN sedative
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