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Nama: ____________________ Tanggal: ____________
1.Mudah
Mengapa menggabungkan benzodiazepin dengan alkohol berbahaya?
AAlkohol mempercepat pemecahan benzodiazepin sehingga obat berhenti bekerja
BKombinasi ini menyebabkan sindrom serotonin
CKombinasi ini menyebabkan tekanan darah tinggi
DKeduanya menekan sistem saraf pusat dan dapat menyebabkan depresi napas
2.Mudah
Which medicine is commonly used to treat antipsychotic-induced akathisia?
ALithium
BBupropion
CHaloperidol
DPropranolol
3.Mudah
What is anticipatory grief?
AGrief that begins before an expected loss, such as during a terminal illness
BGrief that never ends and stops the person from functioning
CGrief that is hidden from others because the loss is not openly recognised or socially accepted
DGrief that appears for the first time many years after a loss
4.Sedang
A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?
A"A sudden severe headache is a reason to get help straight away."
B"I'll avoid aged cheese and cured meats."
C"I'll tell any new doctor or dentist that I take an MAOI."
D"I can take any cold and flu remedy from the pharmacy."
5.Sedang
A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?
AStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
BArgue with him that what he sees is not real until he accepts it
CShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
DLeave him alone in a dark room so that he can sleep it off
6.Sedang
Which communication approach is best for a patient with moderate dementia?
AAsk several questions together to save time
BUse abstract language and long explanations so the patient feels respected
CSpeak loudly and quickly so that the patient stays alert
DUse short, simple sentences and give one instruction at a time
7.Sulit
A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?
AKeep the baby safe, never alone with her, and arrange urgent assessment
BReassure her that all new mothers feel this way
CEncourage her to spend more time alone with the baby so that they can bond
DPlan a routine follow-up appointment with the health visitor in 2 weeks
8.Sulit
A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?
AIgnore the complaint until he mentions it again
BAgree with the colleague and give him a PRN anxiolytic
CAssess him physically, with vital signs and an ECG if indicated
DTell him to lie down in his room, rest and stop worrying so much about his health
Kunci jawaban
1. D · Keduanya menekan sistem saraf pusat dan dapat menyebabkan depresi napas
2. D · Propranolol
3. A · Grief that begins before an expected loss, such as during a terminal illness
4. D · "I can take any cold and flu remedy from the pharmacy."
5. A · Stay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
6. D · Use short, simple sentences and give one instruction at a time
7. A · Keep the baby safe, never alone with her, and arrange urgent assessment
8. C · Assess him physically, with vital signs and an ECG if indicated
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