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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?
ASuppression
BIdentification
CProjection
DRationalisation
2.سهلة
What is hoarding disorder?
APersistent difficulty throwing things away, so that clutter fills the living space
BRepeated checking that all the doors and windows are locked before leaving the house each day
CCollecting a few favourite objects as a hobby that the person enjoys
DFear of leaving the home because of crowds and public transport
3.سهلة
In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?
AAltruism
BUniversality
CCatharsis
DInstillation of hope
4.متوسطة
Which question is the best way to ask a patient about suicidal thoughts?
A"You wouldn't hurt yourself, would you?"
B"Are you having thoughts of killing yourself?"
C"You're not thinking of doing anything silly, are you?"
D"Things aren't that bad, are they?"
5.متوسطة
A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?
ASerotonin syndrome
BA relapse of her depression into a severe psychotic depression
CAntidepressant discontinuation syndrome
DNeuroleptic malignant syndrome
6.متوسطة
In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?
AEncouraging the patient to take part in activities
BFrequent criticism, hostility and emotional over-involvement
CCalm, supportive and warm communication
DRegular contact with the care team and other families
7.صعبة
While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?
ALeave the patient immediately and not return
BRecognise that anxiety spreads between people, and calm herself first
CIgnore her own reaction, because the nurse's feelings do not matter in patient care
DMatch the patient's level of anxiety to show empathy
8.صعبة
A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?
A"Smoking is only allowed in the garden, and that rule is the same for everyone."
B"I'll let you if you promise not to tell anyone else about it."
C"Well, if the others let you, I suppose it's fine this once."
D"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."
مفتاح الإجابات
1. B · Identification
2. A · Persistent difficulty throwing things away, so that clutter fills the living space
3. B · Universality
4. B · "Are you having thoughts of killing yourself?"
5. C · Antidepressant discontinuation syndrome
6. B · Frequent criticism, hostility and emotional over-involvement
7. B · Recognise that anxiety spreads between people, and calm herself first
8. A · "Smoking is only allowed in the garden, and that rule is the same for everyone."
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