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Nama: ____________________ Tanggal: ____________
1.Mudah
Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?
ADarkening of the skin on the hands and face
BA painful erection that does not go away
CRinging in the ears
DA dry cough
2.Mudah
Ciri mana yang menjadi inti anoreksia nervosa?
AKepedulian normal terhadap makan sehat
BMemakan benda yang bukan makanan
CPembatasan asupan makanan dengan ketakutan intens akan kenaikan berat badan dan citra tubuh yang terdistorsi
DMakan berlebihan berulang tanpa perilaku kompensasi apa pun, dengan distres nyata akibat makan berlebihan tersebut
3.Mudah
What is the main mechanism of action of antipsychotic medicines?
ABlocking dopamine D2 receptors
BIncreasing the release of dopamine
CStimulating GABA receptors in the brain
DBlocking the reuptake of serotonin only
4.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
BCalmly say that the comments are not acceptable and redirect him
CAvoid the patient for the rest of the shift
DLaugh at the comments so he does not feel rejected
5.Sedang
Why is the nurse's body language important in therapeutic communication?
AIt is only important during the termination phase
BPatients with mental illness cannot understand non-verbal signals
CPatients often respond more to non-verbal messages than to the words used
DBody language matters only when patients cannot speak the same language
6.Sedang
A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?
ARaised blood calcium
BLow thyroid hormone
CRaised prolactin
DLow blood sodium
7.Sulit
A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?
AWalk with him, acknowledge his concern and gently redirect him to an activity
BUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit
CTell him firmly that he has been retired for 20 years
DLock him in his room so that he cannot leave
8.Sulit
For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?
ASpecific phobia
BAcute stress disorder after a recent trauma
CPanic disorder
DGeneralised anxiety disorder
Kunci jawaban
1. B · A painful erection that does not go away
2. C · Pembatasan asupan makanan dengan ketakutan intens akan kenaikan berat badan dan citra tubuh yang terdistorsi
3. A · Blocking dopamine D2 receptors
4. B · Calmly say that the comments are not acceptable and redirect him
5. C · Patients often respond more to non-verbal messages than to the words used
6. C · Raised prolactin
7. A · Walk with him, acknowledge his concern and gently redirect him to an activity
8. D · Generalised anxiety disorder
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