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الاسم: ____________________ التاريخ: ____________
1.سهلة
طفل عمره 6 سنوات في المستشفى يبدأ بمص إبهامه وتبليل فراشه من جديد. أي آلية دفاعية هذه؟
Aالإسقاط
Bالتعقيل (التفكير المجرد)
Cالنكوص
Dالتسامي
2.سهلة
What is Russell's sign, seen in some patients with eating disorders?
ACalluses or scars on the back of the hand from inducing vomiting
BSwelling of the ankles and feet during the first days of refeeding in hospital
CFine, downy hair growing on the face and back
DYellowing of the skin from eating a lot of carrots
3.سهلة
Which sequence describes the cycle of violence often seen in intimate partner abuse?
ATension-building, then a calm phase that lasts for the rest of the relationship
BTension-building, acute violence, then reconciliation (the "honeymoon" phase)
CAcute violence, then permanent separation of the partners
DReconciliation, acute violence, then tension-building with no further violence
4.متوسطة
A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?
A"Everyone here knows you well, so don't worry."
B"Why do you think the doctor is wrong about you?"
C"The doctor is very experienced, so you should trust her."
D"You feel that people here don't really know you?"
5.متوسطة
A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?
AAvoid his parents' advice, because staff know best how to care for him
BChange his daily routine often, to help him get used to change
CKeep to his usual routines where possible and prepare him for any changes
DPut him in a busy bay with lots of noise and activity to keep him stimulated
6.متوسطة
An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?
AGenerativity versus stagnation
BIntegrity versus despair
CIntimacy versus isolation
DIdentity versus role confusion
7.صعبة
The nurse receives handover for four patients. Which patient should she see first?
AA woman with bipolar disorder who wants to talk about her discharge plans for next week
BA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
CA man with schizophrenia who is asking for his PRN laxative
DA newly admitted man with depression who says he has given away his dog and written letters to his children
8.صعبة
After witnessing a serious accident, a woman suddenly cannot move her legs. Full investigations are normal. Which nursing approach is most appropriate?
ATell her that the paralysis is fake and that she should stand up
BFocus every conversation on the details of her leg weakness
CAccept that the symptom is real for her, help with mobility needs and gently explore recent stress
DIgnore her requests for help completely until she agrees to try to walk again on her own
مفتاح الإجابات
1. C · النكوص
2. A · Calluses or scars on the back of the hand from inducing vomiting
3. B · Tension-building, acute violence, then reconciliation (the "honeymoon" phase)
4. D · "You feel that people here don't really know you?"
5. C · Keep to his usual routines where possible and prepare him for any changes
6. B · Integrity versus despair
7. D · A newly admitted man with depression who says he has given away his dog and written letters to his children
8. C · Accept that the symptom is real for her, help with mobility needs and gently explore recent stress
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