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1.سهلة
What is the difference between empathy and sympathy?
AEmpathy is used only with children and teenagers; sympathy is used only with adult patients
BEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
CEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
DEmpathy and sympathy mean exactly the same thing in nursing
2.سهلة
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
ASelf-neglect by the father
BSexual abuse
CPhysical abuse
DFinancial abuse
3.سهلة
What is lanugo, which may be seen in severe anorexia nervosa?
AFine, soft hair that grows on the body as it tries to conserve heat
BLoss of tooth enamel caused by repeated contact with stomach acid
CPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
DThickening of the skin on the knuckles caused by repeated vomiting
4.متوسطة
A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?
AIt must be taken with grapefruit juice to be absorbed
BIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
CIt is safe in pregnancy and needs no special precautions
DIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
5.متوسطة
A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?
ADiagnostic overshadowing
BTransference
CPositive reinforcement
DSplitting by the patient
6.متوسطة
An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?
AGenerativity versus stagnation
BIntimacy versus isolation
CIdentity versus role confusion
DIntegrity versus despair
7.صعبة
An 80-year-old patient taking a benzodiazepine for sleep fell at night on the way to the toilet. After checking her for injury, what is the most appropriate next step?
AGive an extra dose so that she sleeps through the night without getting up
BDo nothing more, because falls are normal in older people
CReport the fall, put falls precautions in place and ask for a review of her sleep medicine
DUse bed rails and a restraint every night to keep her safely in bed until the morning
8.صعبة
A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?
ATell her that her memory is the problem and that the purse is not stolen
BIgnore the accusation and walk away until she forgets about it
CStay calm, acknowledge her worry and offer to help her look for it
DInsist that nobody would steal from her
مفتاح الإجابات
1. C · Empathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
2. D · Financial abuse
3. A · Fine, soft hair that grows on the body as it tries to conserve heat
4. B · It can seriously harm an unborn baby, so effective contraception and specialist advice are essential
5. A · Diagnostic overshadowing
6. D · Integrity versus despair
7. C · Report the fall, put falls precautions in place and ask for a review of her sleep medicine
8. C · Stay calm, acknowledge her worry and offer to help her look for it
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