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1.سهلة
عُكست جرعة زائدة من الأفيونات بالنالوكسون، والمريض الآن مستيقظ. لماذا ما زال يجب مراقبته عن كثب؟
Aالنالوكسون نفسه يسبب بطء التنفس بعد عدة ساعات أثناء تحلله
Bالنالوكسون يجعل الأفيون يعمل ضعف المدة
Cقد يزول مفعول النالوكسون قبل الأفيون، فيتباطأ تنفسه من جديد
Dلا حاجة إلى مراقبته ما دام مستيقظًا
2.سهلة
According to Erikson, what is the main psychosocial task of adolescence?
AIdentity versus role confusion
BIntegrity versus despair
CTrust versus mistrust
DIndustry versus inferiority
3.سهلة
Which pattern of decline is typical of vascular dementia?
AComplete recovery within a few weeks
BStepwise, with sudden worsening after each new vascular event
CVery gradual and steady from the start, without sudden changes
DRapid improvement after starting antipsychotic medicine
4.متوسطة
What is the main advantage of a long-acting injectable antipsychotic?
AIt has no side effects, unlike the oral forms of the same antipsychotic drugs
BIt cures schizophrenia after a fixed course of injections
CIt improves adherence because the patient does not need to take daily tablets
DIt works faster than any oral antipsychotic in an acute crisis
5.متوسطة
A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?
AAgranulocytosis
BSerotonin syndrome
CHyperthyroidism
DHypothyroidism
6.متوسطة
يستخدم مريض كلمة "غليمبوترانس" ويشرح أنها تعني القوة التي تتحكم في أفكاره. ما هذا؟
Aترابط بالتجانس الصوتي
Bالترديد الببغائي
Cكلمة مستحدثة (neologism)
Dالإسهاب
7.صعبة
A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?
AReport the concern immediately to the nurse in charge, following policy, to protect patients
BWait until the end of the shift, then talk privately with the colleague
CGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
DSay nothing, because it is not her responsibility
8.صعبة
A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?
AAnswer once, then follow the agreed plan to limit repeated reassurance
BReassure him every time he asks, as often as he needs
CLock and unlock the door in front of him each time he asks
DTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
مفتاح الإجابات
1. C · قد يزول مفعول النالوكسون قبل الأفيون، فيتباطأ تنفسه من جديد
2. A · Identity versus role confusion
3. B · Stepwise, with sudden worsening after each new vascular event
4. C · It improves adherence because the patient does not need to take daily tablets
5. D · Hypothyroidism
6. C · كلمة مستحدثة (neologism)
7. A · Report the concern immediately to the nurse in charge, following policy, to protect patients
8. A · Answer once, then follow the agreed plan to limit repeated reassurance
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