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الاسم: ____________________ التاريخ: ____________
1.سهلة
After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?
AReaction formation
BRegression
CIntellectualisation
DDisplacement
2.سهلة
How is lithium mainly removed from the body?
AThrough the skin, in sweat only
BThrough the lungs, in the breath
CBy the liver, in the bile
DBy the kidneys, in the urine
3.سهلة
ما الطَّرح (transference)؟
Aنقل المريض إلى جناح آخر
Bآلية دفاعية يتحول فيها القلق اللاواعي إلى أعراض جسدية مثل الشلل
Cمشاعر الممرضة تجاه المريض
Dيوجّه المريض لاشعوريًا مشاعره تجاه شخص من ماضيه نحو الممرضة
4.متوسطة
What must a patient be told for consent to a new psychotropic medicine to be valid?
ANothing at all, because psychiatric patients cannot give consent
BOnly the benefits, so that the patient is not frightened by the side effects
CThe expected benefits, the main risks and the alternatives, including no treatment
DOnly the name of the medicine and the time of day it will be given
5.متوسطة
Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?
AA controlled response is a common reaction in the acute phase after assault
BShe is probably exaggerating the seriousness of what happened, because she does not seem upset
CHer calmness shows that the assault did not happen
DShe is not distressed and does not need any support
6.متوسطة
A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?
ARaised prolactin
BLow thyroid hormone
CRaised blood calcium
DLow blood sodium
7.صعبة
An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?
AA neurocognitive disorder such as Alzheimer's disease
BBrief psychotic disorder in later life
CNormal ageing with mild forgetfulness
DDelirium
8.صعبة
A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?
ARefer him straight to a residential detox programme
BHelp him set a quit date for next week
COffer non-judgemental information and explore how drinking affects his life
DDiscuss detailed strategies to prevent a relapse after he has stopped drinking
مفتاح الإجابات
1. C · Intellectualisation
2. D · By the kidneys, in the urine
3. D · يوجّه المريض لاشعوريًا مشاعره تجاه شخص من ماضيه نحو الممرضة
4. C · The expected benefits, the main risks and the alternatives, including no treatment
5. A · A controlled response is a common reaction in the acute phase after assault
6. A · Raised prolactin
7. A · A neurocognitive disorder such as Alzheimer's disease
8. C · Offer non-judgemental information and explore how drinking affects his life
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