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الاسم: ____________________ التاريخ: ____________
1.سهلة
Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?
ASummarising
BFocusing
CRestating
DExploring
2.سهلة
What is countertransference?
AThe patient repeating the nurse's words and gestures without understanding their meaning
BThe patient's feelings towards the nurse, based on earlier relationships
CThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
DThe transfer of a patient's care to another nurse at the end of a shift
3.سهلة
Why are benzodiazepines used with caution in older adults?
AThey have no effect on the brain in older people
BThey increase the risk of confusion, falls and fractures
CThey raise blood pressure to dangerous levels after a single dose
DThey cause rapid weight gain and diabetes in all older adults
4.متوسطة
يصر مريض على أن العاملين يسمّمون طعامه. ما أفضل نهج أولي؟
Aالجدال منطقيًا حتى يعترف بأنه مخطئ
Bإخباره بحزم أنه لن يُقدَّم له أي طعام حتى يكف عن الاتهام
Cالإقرار بخوفه دون الجدال في المعتقد، والتركيز على مواضيع مبنية على الواقع
Dالموافقة معه ليثق بك
5.متوسطة
A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?
ASerotonin syndrome
BLithium toxicity
CAgranulocytosis
DHypertensive crisis from tyramine
6.متوسطة
What is the main difference between disulfiram and naltrexone in alcohol dependence?
ANaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
BDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
CDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
DBoth work in exactly the same way, so they are fully interchangeable
7.صعبة
A patient tells the nurse, "You're the only one I can talk to. You're much better than the other nurses." What is the most appropriate response?
A"Thank you. I'll make sure I'm always the one assigned to you from now on."
B"You shouldn't compare nurses. That's not fair to them, and it's rude."
C"I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
D"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."
8.صعبة
A patient's mood changes several times a day, usually after conflicts with others. She has chronic feelings of emptiness and a strong fear of being abandoned. Which diagnosis is most likely?
ABorderline personality disorder
BBipolar I disorder
CSchizoid personality disorder with low mood
DPersistent depressive disorder
مفتاح الإجابات
1. A · Summarising
2. C · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
3. B · They increase the risk of confusion, falls and fractures
4. C · الإقرار بخوفه دون الجدال في المعتقد، والتركيز على مواضيع مبنية على الواقع
5. A · Serotonin syndrome
6. B · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
7. C · "I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
8. A · Borderline personality disorder
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