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الاسم: ____________________ التاريخ: ____________
1.سهلة
According to crisis theory, how long does an acute crisis usually last before it resolves in some way?
AAbout 4–6 weeks
BAbout 5 years
CAbout 2–3 hours
DAbout 1 year
2.سهلة
In DSM-5, gambling disorder is grouped with which category of disorders?
APersonality disorders in Cluster B
BAnxiety disorders and phobias
CNeurocognitive disorders such as dementia
DSubstance-related and addictive disorders
3.سهلة
What is countertransference?
AThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
BThe patient repeating the nurse's words and gestures without understanding their meaning
CThe patient's feelings towards the nurse, based on earlier relationships
DThe transfer of a patient's care to another nurse at the end of a shift
4.متوسطة
An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?
ADepression in older adults can look like dementia and is treatable
BOlder adults cannot be treated for depression
CMemory complaints in older adults are always caused by dementia
DLow mood after the loss of a partner is always normal grief and never needs any assessment
5.متوسطة
A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?
AThe child should not be told anything about the death until she is older
BThe child is in denial and needs psychiatric treatment
CYoung children often do not yet see death as permanent, so simple, honest words help
DThe child does not care about her grandmother and has not been affected by the death
6.متوسطة
A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?
AA relapse of her depression into a severe psychotic depression
BSerotonin syndrome
CAntidepressant discontinuation syndrome
DNeuroleptic malignant syndrome
7.صعبة
On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?
AEvaluating whether a PRN medicine given an hour ago has worked
BAccompanying a stable patient to the dining room and recording his food intake
CCarrying out the full admission suicide risk assessment of a newly admitted patient
DTeaching a patient about the side effects of lithium
8.صعبة
A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?
AGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
BReassure him that young people do not have heart problems
CLet him rest, because the pain will pass when the drug wears off
DTreat it as a possible heart attack, with an urgent ECG and medical review
مفتاح الإجابات
1. A · About 4–6 weeks
2. D · Substance-related and addictive disorders
3. A · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
4. A · Depression in older adults can look like dementia and is treatable
5. C · Young children often do not yet see death as permanent, so simple, honest words help
6. C · Antidepressant discontinuation syndrome
7. B · Accompanying a stable patient to the dining room and recording his food intake
8. D · Treat it as a possible heart attack, with an urgent ECG and medical review
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