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1.سهلة
What is the difference between empathy and sympathy?
AEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
BEmpathy and sympathy mean exactly the same thing in nursing
CEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
DEmpathy is used only with children and teenagers; sympathy is used only with adult patients
2.سهلة
In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?
AAltruism
BInstillation of hope
CUniversality
DCatharsis
3.سهلة
Which feature is central to antisocial personality disorder?
AA strong wish for close relationships combined with fear of rejection
BOdd beliefs, magical thinking, eccentric dress and unusual perceptual experiences
CIntense fear of being abandoned by people close to them
DA pattern of disregard for the rights of others, often without remorse
4.متوسطة
How does memantine work in Alzheimer's disease?
AIt blocks NMDA glutamate receptors
BIt blocks dopamine D2 receptors
CIt inhibits the breakdown of acetylcholine
DIt increases serotonin by blocking its reuptake
5.متوسطة
An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?
AOffer the oral medicine first, before considering an injection
BGive an intramuscular injection at once without offering any choice
CPlace him in seclusion and then decide about medicine later
DHide the medicine in his drink without telling him
6.متوسطة
A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?
ASomatic symptom disorder
BFactitious disorder
CIllness anxiety disorder
DConversion disorder
7.صعبة
A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?
ATell the patient she is only seeking attention
BCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
CAgree with the colleague and take no action at all
DWait until the next morning to see if she still feels the same once the argument has settled down
8.صعبة
A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?
AAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative
BSkip bathing for the rest of his stay
CGet more staff to hold him so the bath can be finished quickly
DStop, try again later or in a different way, and explain each step calmly
مفتاح الإجابات
1. C · Empathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
2. C · Universality
3. D · A pattern of disregard for the rights of others, often without remorse
4. A · It blocks NMDA glutamate receptors
5. A · Offer the oral medicine first, before considering an injection
6. C · Illness anxiety disorder
7. B · Carry out a full suicide risk assessment, as with any patient who expresses suicidal intent
8. D · Stop, try again later or in a different way, and explain each step calmly
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