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الاسم: ____________________ التاريخ: ____________
1.سهلة
أي دواء هو مثبّط انتقائي لإعادة امتصاص السيروتونين (SSRI)؟
Aالديازيبام
Bالليثيوم
Cالسيرترالين
Dالهالوبيريدول
2.سهلة
Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?
ALow white blood cell count
BRaised prolactin and breast enlargement
CExtrapyramidal side effects such as dystonia and pseudoparkinsonism
DWeight gain and raised blood glucose
3.سهلة
What is anhedonia?
ARapid, pressured speech that is hard to interrupt
BAn inability to fall asleep at night despite feeling very tired during the day
CLoss of interest or pleasure in activities that were enjoyed before
DA belief that one's body is diseased or rotting
4.متوسطة
أي مبدأ ينطبق على استخدام التقييد الجسدي؟
Aلا يحتاج إلى توثيق
Bيمكن استخدامه عقابًا على مخالفة القواعد
Cيمكن استخدامه لراحة العاملين في مناوبة مزدحمة، بشرط توثيقه ومراجعته من الفريق لاحقًا
Dهو ملاذ أخير عند فشل الإجراءات الأقل تقييدًا، مع مراقبة دقيقة وفكّ التقييد حالما يصبح آمنًا
5.متوسطة
A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?
AA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
BThe patient can be left alone while asleep
CThe patient is checked every hour during the day only
DThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
6.متوسطة
What must a patient be told for consent to a new psychotropic medicine to be valid?
AOnly the name of the medicine and the time of day it will be given
BThe expected benefits, the main risks and the alternatives, including no treatment
CNothing at all, because psychiatric patients cannot give consent
DOnly the benefits, so that the patient is not frightened by the side effects
7.صعبة
An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?
AStop the medicine immediately without telling the prescriber
BIgnore it, because weight changes in children are always normal
CAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
DReport the finding, review his eating pattern and suggest giving the medicine after breakfast
8.صعبة
A patient in acute mania has slept for 2 hours in 3 nights, is losing weight and is pacing constantly. Which nursing concern is the priority?
ARisk of physical exhaustion and injury
BLack of knowledge about the illness
CDisturbed relationships with her family
DLow self-esteem
مفتاح الإجابات
1. C · السيرترالين
2. C · Extrapyramidal side effects such as dystonia and pseudoparkinsonism
3. C · Loss of interest or pleasure in activities that were enjoyed before
4. D · هو ملاذ أخير عند فشل الإجراءات الأقل تقييدًا، مع مراقبة دقيقة وفكّ التقييد حالما يصبح آمنًا
5. A · A staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
6. B · The expected benefits, the main risks and the alternatives, including no treatment
7. D · Report the finding, review his eating pattern and suggest giving the medicine after breakfast
8. A · Risk of physical exhaustion and injury
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