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In substance use, what does "tolerance" mean?

1. ABeing able to stop using the substance at any time without symptoms
2. BHaving withdrawal symptoms when the substance is stopped suddenly
3. CNeeding more of the substance to get the same effect
4. DFeeling a strong craving to use the substance after a long period without it

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AWithin 3 days
2. BOnly after 1 year
3. COnly after 2 years
4. DWithin 3 months

What is systematic desensitisation?

1. ATeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
2. BSudden and prolonged exposure to the most feared situation at once
3. CA medicine that reduces anxiety within minutes of being taken
4. DGradual exposure to a feared situation, step by step, while using relaxation

A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?

1. AAsk a series of direct questions until he answers
2. BTell the patient that talking is required to be discharged
3. CLeave the patient alone until he asks to talk
4. DSpend short, regular periods with the patient without forcing conversation

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
2. BThe combination is completely safe because they act on different systems
3. CIbuprofen will make the sertraline work faster
4. DIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction

Which goal for a patient with depression is written in a SMART way?

1. A"The patient will be happier."
2. B"The patient will walk with staff for 15 minutes once a day by Friday."
3. C"The patient will feel better soon."
4. D"The patient will improve her mood and sleep and start exercising more at some point."

During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?

1. ADiscuss the problem openly and involve patients in finding a solution
2. BTell the patients that the rules cannot be changed
3. CEnd the meeting so the complaint is not discussed further
4. DAsk the patients to write their complaints down and then do nothing

Temuan mana yang paling membantu membedakan sindrom serotonin dari sindrom neuroleptik maligna?

1. ABerkeringat hanya terjadi pada sindrom neuroleptik maligna
2. BDemam hanya ada pada sindrom serotonin
3. CKebingungan hanya terjadi pada sindrom neuroleptik maligna, tidak pernah pada sindrom serotonin
4. DHiperrefleksia dan klonus dengan onset cepat menunjukkan sindrom serotonin