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1.سهلة
What is agoraphobia?
AFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
BFear of being judged or embarrassed while speaking or eating in front of others
CFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
DFear of one specific object or animal, such as spiders, dogs or snakes
2.سهلة
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
AObsessions, compulsions and repeated checking
BDelusions, hallucinations and disorganised speech
CInattention, hyperactivity and impulsivity
DLow mood, loss of interest and poor sleep
3.سهلة
A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?
ASeeking clarification
BReflecting feelings
COffering self
DGiving recognition
4.متوسطة
Which effects of methadone should the nurse monitor for?
AHair loss, weight loss and a painful red rash on the face
BHypertensive crisis after eating aged cheese
CRespiratory depression, sedation and a prolonged QT interval
DAgranulocytosis and a sore throat
5.متوسطة
A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?
A"I don't see anyone in the corner, but I know it seems real to you."
B"What does the man in the corner look like?"
C"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
D"The man will go away if you ignore him."
6.متوسطة
أي أثر جانبي للكلوزابين قد يهدد الحياة وكثيرًا ما يُغفَل؟
Aزيادة اللعاب
Bإمساك شديد يؤدي إلى انسداد الأمعاء
Cالنعاس
Dزيادة طفيفة في الوزن
7.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"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."
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"Smoking is only allowed in the garden, and that rule is the same for everyone."
8.صعبة
A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?
AArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
BStop answering her calls, because the symptoms are imaginary
CTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
DAsk the doctor to order new tests every time she reports a symptom
مفتاح الإجابات
1. C · Fear of situations where escape might be difficult or help unavailable, such as crowds or public transport
2. C · Inattention, hyperactivity and impulsivity
3. A · Seeking clarification
4. C · Respiratory depression, sedation and a prolonged QT interval
5. A · "I don't see anyone in the corner, but I know it seems real to you."
6. B · إمساك شديد يؤدي إلى انسداد الأمعاء
7. D · "Smoking is only allowed in the garden, and that rule is the same for everyone."
8. A · Arrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
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