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الاسم: ____________________ التاريخ: ____________
1.سهلة
A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?
ARationalisation
BProjection
CSuppression
DIdentification
2.سهلة
Which statement about self-disclosure by the nurse is correct?
AIt should be brief, rare and used only to help the patient
BIt should be used often to build friendship with the patient
CIt is helpful when the nurse shares personal problems in detail
DIt is never allowed in any situation
3.سهلة
A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?
AFocusing
BSummarising
CRestating
DChanging the subject
4.متوسطة
How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?
AIt involves surgically implanting electrodes deep in the brain under anaesthetic
BIt needs a general anaesthetic and causes a seizure, like ECT
CIt is given as a daily tablet that contains tiny magnetic particles
DIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
5.متوسطة
What should a patient starting zolpidem for insomnia be taught to report?
ASleeping through the night without waking up
BFeeling slightly more rested and alert the next morning than before starting the medicine
CFeeling sleepy about 30 minutes after taking it at bedtime
DDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
6.متوسطة
يستخدم مريض كلمة "غليمبوترانس" ويشرح أنها تعني القوة التي تتحكم في أفكاره. ما هذا؟
Aكلمة مستحدثة (neologism)
Bالإسهاب
Cترابط بالتجانس الصوتي
Dالترديد الببغائي
7.صعبة
On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?
ATell her that antidepressants must be started at once
BArrange an emergency psychiatric admission today
CExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
DAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover
8.صعبة
For the last 3 years a man has had frequent periods of mildly raised mood and periods of low mood. None has been severe enough to count as hypomania or a major depressive episode. Which diagnosis fits best?
ACyclothymic disorder
BBipolar II disorder
CMajor depressive disorder
DBipolar I disorder
مفتاح الإجابات
1. D · Identification
2. A · It should be brief, rare and used only to help the patient
3. D · Changing the subject
4. D · It uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
5. D · Doing things while not fully awake, such as sleepwalking or driving, with no memory of it
6. A · كلمة مستحدثة (neologism)
7. C · Explain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
8. A · Cyclothymic disorder
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