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1.سهلة
What is Russell's sign, seen in some patients with eating disorders?
AYellowing of the skin from eating a lot of carrots
BFine, downy hair growing on the face and back
CSwelling of the ankles and feet during the first days of refeeding in hospital
DCalluses or scars on the back of the hand from inducing vomiting
2.سهلة
What is a psychiatric advance directive (advance statement)?
AA court order that allows a patient to be detained in hospital
BA document in which a person states their treatment wishes for a time when they may lack capacity
CA contract in which the patient promises the team to take every prescribed medicine for life
DA note from the doctor that lists the patient's diagnoses
3.سهلة
What is anhedonia?
ALoss of interest or pleasure in activities that were enjoyed before
BRapid, pressured speech that is hard to interrupt
CA belief that one's body is diseased or rotting
DAn inability to fall asleep at night despite feeling very tired during the day
4.متوسطة
The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?
AIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
BGive it just before bedtime so that it works overnight
CIt causes weight gain, so offer fewer snacks during the day
DGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
5.متوسطة
أي مجموعة من العلامات توحي بمتلازمة السيروتونين؟
Aزيادة الوزن وجفاف الفم
Bتصلب يتطور ببطء مع منعكسات منخفضة وحمّى مرتفعة على مدى عدة أيام بعد مضاد للذهان
Cحرارة منخفضة وبطء القلب
Dهياج وتعرق ورعاش وفرط منعكسات ورمع عضلي تبدأ خلال ساعات من تغيير دوائي
6.متوسطة
A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?
AAgoraphobia
BGeneralised anxiety disorder
CSocial anxiety disorder
DObsessive-compulsive disorder
7.صعبة
مريض يتناول الكلوزابين منذ سنة يتوقف عن تدخين السجائر. لماذا يهم ذلك؟
Aيتوقف الكلوزابين عن العمل كليًا
Bلا يهم إطلاقًا
Cتنخفض مستويات الكلوزابين بحدة، لذلك يجب عادةً مضاعفة الجرعة لمنع نكس ذهاني
Dقد ترتفع مستويات الكلوزابين، مما يزيد خطر الآثار الجانبية مثل التهدئة والنوبات التشنجية
8.صعبة
A patient in acute mania has slept for 2 hours in 3 nights, is losing weight and is pacing constantly. Which nursing concern is the priority?
ADisturbed relationships with her family
BLack of knowledge about the illness
CRisk of physical exhaustion and injury
DLow self-esteem
مفتاح الإجابات
1. D · Calluses or scars on the back of the hand from inducing vomiting
2. B · A document in which a person states their treatment wishes for a time when they may lack capacity
3. A · Loss of interest or pleasure in activities that were enjoyed before
4. D · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
5. D · هياج وتعرق ورعاش وفرط منعكسات ورمع عضلي تبدأ خلال ساعات من تغيير دوائي
6. C · Social anxiety disorder
7. D · قد ترتفع مستويات الكلوزابين، مما يزيد خطر الآثار الجانبية مثل التهدئة والنوبات التشنجية
8. C · Risk of physical exhaustion and injury
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