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Nama: ____________________ Tanggal: ____________
1.Mudah
Why are benzodiazepines used with caution in older adults?
AThey have no effect on the brain in older people
BThey increase the risk of confusion, falls and fractures
CThey cause rapid weight gain and diabetes in all older adults
DThey raise blood pressure to dangerous levels after a single dose
2.Mudah
Manakah yang merupakan gejala positif skizofrenia?
AMiskin bicara (alogia)
BAfek datar
CHalusinasi dengar
DKurangnya motivasi (avolisi)
3.Mudah
A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?
AFlight of ideas
BWord salad
CClang association
DThought blocking
4.Sedang
A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?
AChange his daily routine often, to help him get used to change
BKeep to his usual routines where possible and prepare him for any changes
CAvoid his parents' advice, because staff know best how to care for him
DPut him in a busy bay with lots of noise and activity to keep him stimulated
5.Sedang
Which effects of methadone should the nurse monitor for?
AAgranulocytosis and a sore throat
BHair loss, weight loss and a painful red rash on the face
CRespiratory depression, sedation and a prolonged QT interval
DHypertensive crisis after eating aged cheese
6.Sedang
Which communication approach is best with a patient who has paranoid personality disorder?
AAvoid explaining anything so that the patient does not become suspicious
BBe clear, honest and business-like, and explain the reasons for actions
CTalk about the patient with colleagues in whispers within his sight
DBe very warm and joke often to put the patient at ease
7.Sulit
A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?
ASay nothing, because one dose will not cause harm
BAssess the patient, including his vital signs and level of sedation
CGive the patient his own prescribed medicine as well, to stay on schedule
DFill in an incident report before checking the patient
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?
AAcute stress disorder after a recent trauma
BGeneralised anxiety disorder
CPanic disorder
DSpecific phobia
Kunci jawaban
1. B · They increase the risk of confusion, falls and fractures
2. C · Halusinasi dengar
3. D · Thought blocking
4. B · Keep to his usual routines where possible and prepare him for any changes
5. C · Respiratory depression, sedation and a prolonged QT interval
6. B · Be clear, honest and business-like, and explain the reasons for actions
7. B · Assess the patient, including his vital signs and level of sedation
8. B · Generalised anxiety disorder
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