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Nama: ____________________ Tanggal: ____________
1.Mudah
Why are benzodiazepines used with caution in older adults?
AThey increase the risk of confusion, falls and fractures
BThey raise blood pressure to dangerous levels after a single dose
CThey have no effect on the brain in older people
DThey cause rapid weight gain and diabetes in all older adults
2.Mudah
A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?
AConfabulation
BEchopraxia
CNeologism
DEcholalia
3.Mudah
What is the main mechanism of action of antipsychotic medicines?
ABlocking dopamine D2 receptors
BIncreasing the release of dopamine
CBlocking the reuptake of serotonin only
DStimulating GABA receptors in the brain
4.Sedang
Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?
ARemember the decision for more than a year afterwards
BUnderstand, retain and weigh the information, or communicate their decision
CRead and write in the language used by the staff
DAgree with the decision that the doctor and the rest of the healthcare team recommend for them
5.Sedang
Seorang pasien dalam episode manik terlalu sibuk untuk duduk makan. Apa cara terbaik untuk mendukung nutrisinya?
AMenawarkan makanan dan minuman tinggi kalori yang bisa dimakan sambil bergerak
BMenunggu sampai pasien meminta makanan
CMenawarkan makanan besar tiga hidangan di ruang makan yang ramai pada jam makan yang biasa
DBerkeras agar pasien duduk di meja selama 1 jam
6.Sedang
Efek samping klozapin mana yang dapat mengancam nyawa dan sering terabaikan?
AKantuk
BKonstipasi berat yang menyebabkan obstruksi usus
CAir liur yang meningkat
DKenaikan berat badan ringan
7.Sulit
The family of a patient with schizophrenia asks how they can tell if he is becoming unwell again. Which signs should the nurse teach them to watch for?
ATalking more openly with his family about his feelings and his plans for the future
BA better appetite and more interest in his hobbies
CPoor sleep, withdrawal from others and increasing suspiciousness
DMild dry mouth in the first week of a new medicine
8.Sulit
A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?
A"I'll need regular blood tests for as long as I take clozapine."
B"After a few months I can stop having blood tests."
C"If I get a sore throat or fever, I'll tell someone straight away."
D"The tests are done because clozapine can lower my white cells."
Kunci jawaban
1. A · They increase the risk of confusion, falls and fractures
2. D · Echolalia
3. A · Blocking dopamine D2 receptors
4. B · Understand, retain and weigh the information, or communicate their decision
5. A · Menawarkan makanan dan minuman tinggi kalori yang bisa dimakan sambil bergerak
6. B · Konstipasi berat yang menyebabkan obstruksi usus
7. C · Poor sleep, withdrawal from others and increasing suspiciousness
8. B · "After a few months I can stop having blood tests."
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