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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which statement about nicotine replacement therapy is correct?
AIt contains tar and carbon monoxide in smaller amounts than cigarettes
BIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings
CIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
DIt must never be combined, for example a patch with gum
2.سهلة
What is the main difference between bipolar I and bipolar II disorder?
ABipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
BBipolar I involves only depression; bipolar II involves only mania
CBipolar II is always more severe than bipolar I
DBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
3.سهلة
What is systematic desensitisation?
AA medicine that reduces anxiety within minutes of being taken
BSudden and prolonged exposure to the most feared situation at once
CTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
DGradual exposure to a feared situation, step by step, while using relaxation
4.متوسطة
مريض يتناول مضادًا للذهان يتجول باستمرار ويقول إنه لا يستطيع الجلوس ساكنًا. ما اسم ذلك؟
Aخلل الحركة المتأخر
Bالأكاثيزيا (akathisia)
Cالباركنسونية الكاذبة
Dالتخشب (catatonia)
5.متوسطة
A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?
A"I can take any cold and flu remedy from the pharmacy."
B"I'll tell any new doctor or dentist that I take an MAOI."
C"A sudden severe headache is a reason to get help straight away."
D"I'll avoid aged cheese and cured meats."
6.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?
ANeuroleptic malignant syndrome
BAntidepressant discontinuation syndrome
CA relapse of her depression into a severe psychotic depression
DSerotonin syndrome
7.صعبة
مريض طوعي لا يشكل خطرًا فوريًا بالأذى يريد مغادرة الجناح رغم النصيحة الطبية. ما النهج العام الصحيح؟
Aإغلاق الباب بالمفتاح لمنع المريض من المغادرة
Bشرح المخاطر، وإبلاغ الفريق، وتوثيق النقاش، واحترام حقه في المغادرة وفق القانون والسياسة
Cإخبار المريض بأن العاملين سيقيدونه ويعيدونه إلى الجناح إذا حاول المغادرة دون إذن الطبيب
Dإخفاء متعلقات المريض
8.صعبة
A patient who stopped drinking 24 hours ago has a generalised tonic-clonic seizure in bed. What is the nurse's first action?
AGive oral thiamine with a glass of water
BPut something in his mouth to stop him biting his tongue
CRestrain his arms and legs to stop the movements
DProtect the airway and keep him safe from injury
مفتاح الإجابات
1. B · It provides nicotine without the harmful smoke, to reduce withdrawal and cravings
2. A · Bipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
3. D · Gradual exposure to a feared situation, step by step, while using relaxation
4. B · الأكاثيزيا (akathisia)
5. A · "I can take any cold and flu remedy from the pharmacy."
6. B · Antidepressant discontinuation syndrome
7. B · شرح المخاطر، وإبلاغ الفريق، وتوثيق النقاش، واحترام حقه في المغادرة وفق القانون والسياسة
8. D · Protect the airway and keep him safe from injury
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