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Nama: ____________________ Tanggal: ____________
1.Mudah
After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?
AUndoing
BDenial
CSublimation
DProjection
2.Mudah
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
ADelusions, hallucinations and disorganised speech
BLow mood, loss of interest and poor sleep
CInattention, hyperactivity and impulsivity
DObsessions, compulsions and repeated checking
3.Mudah
Efek samping mana yang bersifat antikolinergik?
ADemam tinggi dan ruam
BMulut kering, konstipasi, retensi urine, dan penglihatan kabur
CDiare, berkeringat, mata berair, dan peningkatan produksi air liur
DGlukosa darah rendah dan penurunan berat badan
4.Sedang
What is the main difference between disulfiram and naltrexone in alcohol dependence?
ANaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
BDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
CBoth work in exactly the same way, so they are fully interchangeable
DDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
5.Sedang
What is the PHQ-9 used for?
AAssessing the severity of alcohol withdrawal
BScreening for depression and measuring its severity
CScreening for alcohol problems
DMonitoring involuntary movements caused by antipsychotics
6.Sedang
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
ANihilistic
BErotomanic
CPersecutory
DGrandiose
7.Sulit
Pada hari kedua setelah minum terakhir, seorang pasien mengalami tremor nyata, melihat serangga di dinding, denyut jantung 124/menit, tekanan darah 170/100 mmHg, dan berkeringat banyak. Apa prioritasnya?
AMembatasi asupan cairannya
BMemberinya sedikit alkohol untuk meredakan gejala, lalu membiarkannya tidur di ruang samping yang tenang dengan pintu tertutup
CMenanganinya sebagai kemungkinan delirium tremens: minta bantuan medis segera, berikan benzodiazepin sesuai resep, dan jaga keselamatannya
DMenjelaskan bahwa serangga itu tidak nyata dan membiarkannya beristirahat
8.Sulit
A patient who was admitted after a serious suicide attempt says, "I'm angry they saved me. Next time I'll do it properly." What should the nurse do?
AReduce observation because he is talking openly about his feelings
BMaintain close observation, report the statement and reassess the risk with the team
CTell him that he should be grateful to be alive and think about how his family would feel
DChange the subject to something more positive, such as his family and his plans for after discharge
Kunci jawaban
1. A · Undoing
2. C · Inattention, hyperactivity and impulsivity
3. B · Mulut kering, konstipasi, retensi urine, dan penglihatan kabur
4. D · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
5. B · Screening for depression and measuring its severity
6. A · Nihilistic
7. C · Menanganinya sebagai kemungkinan delirium tremens: minta bantuan medis segera, berikan benzodiazepin sesuai resep, dan jaga keselamatannya
8. B · Maintain close observation, report the statement and reassess the risk with the team
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