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1.سهلة
A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?
AOffering self
BDefending
CReflecting
DSeeking clarification
2.سهلة
في فحص الحالة العقلية، ما الفرق بين المزاج (mood) والوجدان (affect)؟
Aالمزاج ما تلاحظه الممرضة على المريض؛ والوجدان ما يبلّغ المريض أنه يشعر به
Bالمزاج يصف التفكير؛ والوجدان يصف الذاكرة
Cالمزاج ما يبلّغ المريض أنه يشعر به؛ والوجدان الانفعال الذي تلاحظه الممرضة
Dالمزاج والوجدان يعنيان الشيء نفسه تمامًا
3.سهلة
Which medicine is commonly used to treat antipsychotic-induced akathisia?
ALithium
BBupropion
CPropranolol
DHaloperidol
4.متوسطة
A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?
AAn MRI of the knee
BUrine drug screen only
CSerum lithium level
DThyroid function tests
5.متوسطة
Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?
AIt shows that the nurse is not listening at all
BIt is against the law in mental health settings
CIt always makes the patient angry and more likely to become aggressive towards staff
DIt suggests that the patient's choices are judged against the nurse's standards
6.متوسطة
مريض يتناول مضادًا للذهان يتجول باستمرار ويقول إنه لا يستطيع الجلوس ساكنًا. ما اسم ذلك؟
Aالباركنسونية الكاذبة
Bالتخشب (catatonia)
Cخلل الحركة المتأخر
Dالأكاثيزيا (akathisia)
7.صعبة
A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?
AAsk the other patients to ignore her and carry on
BTell her loudly in front of everyone that she must stop
CCalmly cover her and guide her to her room or a quiet area
DCall security to remove her from the ward
8.صعبة
Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?
AKeep a safe distance, call for help and avoid trying to take the chair alone
BGrab the chair from the patient quickly before he can use it
CShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge
DTurn her back and walk away slowly without saying anything
مفتاح الإجابات
1. B · Defending
2. C · المزاج ما يبلّغ المريض أنه يشعر به؛ والوجدان الانفعال الذي تلاحظه الممرضة
3. C · Propranolol
4. D · Thyroid function tests
5. D · It suggests that the patient's choices are judged against the nurse's standards
6. D · الأكاثيزيا (akathisia)
7. C · Calmly cover her and guide her to her room or a quiet area
8. A · Keep a safe distance, call for help and avoid trying to take the chair alone
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