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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?
AHistrionic, dependent and schizoid
BAvoidant, dependent and obsessive-compulsive
CAntisocial, borderline, histrionic and narcissistic
DParanoid, schizoid and schizotypal
2.سهلة
Which group of features is typical of dementia with Lewy bodies?
AFluctuating alertness, detailed visual hallucinations and parkinsonism
BEarly personality change and loss of social inhibition
CSudden step-by-step decline after small strokes
DMemory loss only, with no other symptoms or changes in alertness for many years
3.سهلة
بعد أن انتقدها مديرها، تعود امرأة إلى البيت وتصرخ في أطفالها. أي آلية دفاعية هذه؟
Aالإزاحة
Bتكوين رد الفعل
Cالإبطال
Dالإنكار
4.متوسطة
An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?
AIt raises blood pressure to dangerous levels in older adults
BIt has no effects at all in people over 80, so it will not help her sleep
CIts anticholinergic effects can cause confusion, urine retention and falls
DIt is a strong opioid that causes severe dependence
5.متوسطة
A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?
A"If you speak to me like that, I'm leaving."
B"You shouldn't talk to people like that."
C"You sound very angry. Tell me what has happened."
D"That's not true. I've helped you all day."
6.متوسطة
In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?
ACalm, supportive and warm communication
BFrequent criticism, hostility and emotional over-involvement
CRegular contact with the care team and other families
DEncouraging the patient to take part in activities
7.صعبة
وُصف الترامادول للألم لمريض يتناول السيرترالين. بعد ساعات قليلة يكون هائجًا ويتعرق ويرتجف ولديه رمع عضلي في كاحليه. ما المشكلة الأرجح؟
Aانسحاب الكحول
Bانسحاب الأفيونات
Cالمتلازمة الخبيثة للمهدئات العصبية
Dمتلازمة السيروتونين
8.صعبة
A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?
ATell her that he is on the ward but refuse to say anything else about his care or condition
BGive a full update, because she is a close family member
CNeither confirm nor deny that he is there, and offer to pass on a message
DAsk her to prove she is his sister and then share the details
مفتاح الإجابات
1. B · Avoidant, dependent and obsessive-compulsive
2. A · Fluctuating alertness, detailed visual hallucinations and parkinsonism
3. A · الإزاحة
4. C · Its anticholinergic effects can cause confusion, urine retention and falls
5. C · "You sound very angry. Tell me what has happened."
6. B · Frequent criticism, hostility and emotional over-involvement
7. D · متلازمة السيروتونين
8. C · Neither confirm nor deny that he is there, and offer to pass on a message
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