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الاسم: ____________________ التاريخ: ____________
1.سهلة
According to Selye's general adaptation syndrome, what are the three stages of the stress response?
AAlarm, resistance and exhaustion
BOrientation, working and termination
CDenial, anger and acceptance
DForming, storming and norming
2.سهلة
لماذا يُعطى الثيامين (فيتامين B1) للمرضى المعتمدين على الكحول؟
Aلتقليل الرغبة الشديدة في الكحول
Bلعلاج تشمع الكبد
Cللوقاية من اعتلال الدماغ فيرنيكه أو علاجه
Dلجعل طعم الكحول غير مستساغ
3.سهلة
A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?
AProjection
BIdentification
CRationalisation
DSuppression
4.متوسطة
What is the key difference between factitious disorder and malingering?
AThere is no real difference between them, and both terms mean exactly the same thing
BIn factitious disorder, the symptoms are not produced on purpose at all
CIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
DMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
5.متوسطة
يقول مريض: "أنا لا قيمة لي. لا أحد يهتم بي". أي استجابة هي الأكثر علاجية؟
A"لا يجوز لك أن تقول مثل هذا الكلام."
B"هذا غير صحيح؛ الجميع هنا يهتمون بك."
C"دعنا نتحدث في شيء أكثر بهجة."
D"تشعر بأن لا أحد يهتم بك. أخبرني المزيد."
6.متوسطة
How does aripiprazole differ from most other antipsychotics?
AIt needs weekly white blood cell counts for safety
BIt is a benzodiazepine with antipsychotic effects
CIt is a partial agonist at dopamine D2 receptors
DIt has no effect on dopamine at all
7.صعبة
A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?
AIgnore the threat, because she is only trying to manipulate staff
BTake the statement seriously, assess her risk and explain that nursing assignments are decided by the team
CAgree to assign Anna to her every day so that she stays safe
DTell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
8.صعبة
A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?
AA physical cause such as dental pain, an ear infection or constipation
BThat she is trying to manipulate the staff
CThat she needs an antipsychotic to control her behaviour
DThat the behaviour is part of her disability and needs no assessment
مفتاح الإجابات
1. A · Alarm, resistance and exhaustion
2. C · للوقاية من اعتلال الدماغ فيرنيكه أو علاجه
3. B · Identification
4. C · In factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
5. D · "تشعر بأن لا أحد يهتم بك. أخبرني المزيد."
6. C · It is a partial agonist at dopamine D2 receptors
7. B · Take the statement seriously, assess her risk and explain that nursing assignments are decided by the team
8. A · A physical cause such as dental pain, an ear infection or constipation
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