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1.سهلة
أي مما يلي عَرَض سلبي في الفصام؟
Aفتور الهمة (انعدام الدافعية)
Bالسلوك غير المنظم
Cالأوهام الاضطهادية
Dسماع الأصوات
2.سهلة
In Freud's theory of personality, what is the role of the ego?
ATo seek immediate pleasure regardless of the consequences
BTo store all forgotten memories from childhood
CTo balance the demands of the id, the superego and reality
DTo act as the moral conscience that creates guilt
3.سهلة
Which signs suggest acute cocaine intoxication?
ADilated pupils, a fast heart rate and high blood pressure
BRed eyes, increased appetite, dry mouth and slowed reactions
CPinpoint pupils, slow breathing and drowsiness
DSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
4.متوسطة
Which tool is widely used to screen for delirium at the bedside?
AThe Confusion Assessment Method (CAM)
BThe Abnormal Involuntary Movement Scale (AIMS)
CThe CIWA-Ar
DThe CAGE questionnaire
5.متوسطة
أي مراقبة مهمة بوجه خاص للمرضى الذين يتناولون مضادات الذهان من الجيل الثاني مثل الأولانزابين؟
Aالوزن ومحيط الخصر وسكر الدم والدهون
Bتعداد الصفائح فقط
Cكثافة العظام فقط
Dالسمع والبصر فقط، لأنهما الأكثر تأثرًا بالدواء
6.متوسطة
A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?
ATell her that her beliefs are not real
BAvoid asking about it, because culture is not relevant to mental health
CExplore the experience in her cultural context before calling it a symptom
DRecord it immediately as a command hallucination
7.صعبة
A patient who has taken haloperidol for many years now has repeated lip smacking and tongue movements. Which action is most appropriate?
AGive benztropine, because it reliably reverses these movements
BReassure the patient that the movements will soon stop on their own
CIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
DReport the movements, assess them with a scale such as the AIMS and ask for a medication review
8.صعبة
A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?
AIt is acceptable, because it will make the ward quieter and safer for the other patients
BIt is acceptable as long as the patient agrees afterwards
CIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
DIt is acceptable as long as the seclusion lasts for less than an hour
مفتاح الإجابات
1. A · فتور الهمة (انعدام الدافعية)
2. C · To balance the demands of the id, the superego and reality
3. A · Dilated pupils, a fast heart rate and high blood pressure
4. A · The Confusion Assessment Method (CAM)
5. A · الوزن ومحيط الخصر وسكر الدم والدهون
6. C · Explore the experience in her cultural context before calling it a symptom
7. D · Report the movements, assess them with a scale such as the AIMS and ask for a medication review
8. C · It would be inappropriate, because seclusion is only a last resort for serious risk of harm
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