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الاسم: ____________________ التاريخ: ____________
1.سهلة
يجب على مريض يتناول مثبّط أوكسيداز الأمين الأحادي (MAOI) أن يتجنب أي نوع من الطعام؟
Aالخضروات الطازجة
Bالأرز والمعكرونة
Cالأطعمة الغنية بالتيرامين، مثل الجبن المعتق واللحوم المقددة
Dالحليب الطازج والزبادي العادي بسبب محتواهما من الكالسيوم
2.سهلة
What is trichotillomania?
AA fear of hair, combs and hairdressers
BA fungal infection of the scalp that is common in people with OCD
CHair loss caused by lithium treatment
DRepeatedly pulling out one's own hair, leading to hair loss
3.سهلة
In obsessive-compulsive disorder, what is an obsession?
AA strong interest in a hobby that the person enjoys very much
BA recurrent, unwanted thought, urge or image that causes anxiety
CA false belief that is held firmly despite clear evidence that it is untrue
DA repeated action done to reduce anxiety, such as checking a lock
4.متوسطة
A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?
A"The doctor is very experienced, so you should trust her."
B"Why do you think the doctor is wrong about you?"
C"You feel that people here don't really know you?"
D"Everyone here knows you well, so don't worry."
5.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?
AObsessive-compulsive disorder
BGeneralised anxiety disorder
CSocial anxiety disorder
DAgoraphobia
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?
ARecord it immediately as a command hallucination
BTell her that her beliefs are not real
CExplore the experience in her cultural context before calling it a symptom
DAvoid asking about it, because culture is not relevant to mental health
7.صعبة
A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?
AReassure her that all new mothers feel this way
BEncourage her to spend more time alone with the baby so that they can bond
CPlan a routine follow-up appointment with the health visitor in 2 weeks
DKeep the baby safe, never alone with her, and arrange urgent assessment
8.صعبة
مريض مصاب باكتئاب شديد منذ أسابيع أصبح فجأة مبتهجًا وهادئًا ويعطي ساعته لمريض آخر. ما الإجراء الأنسب؟
Aمدحه على كرمه وعدم قول أي شيء آخر
Bالتخطيط لخروجه غدًا
Cسؤاله مباشرةً عن الأفكار والخطط الانتحارية وإبلاغ الفريق
Dملاحظة أن مزاجه يتحسن بوضوح وخفض مستوى مراقبته
مفتاح الإجابات
1. C · الأطعمة الغنية بالتيرامين، مثل الجبن المعتق واللحوم المقددة
2. D · Repeatedly pulling out one's own hair, leading to hair loss
3. B · A recurrent, unwanted thought, urge or image that causes anxiety
4. C · "You feel that people here don't really know you?"
5. C · Social anxiety disorder
6. C · Explore the experience in her cultural context before calling it a symptom
7. D · Keep the baby safe, never alone with her, and arrange urgent assessment
8. C · سؤاله مباشرةً عن الأفكار والخطط الانتحارية وإبلاغ الفريق
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