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1.سهلة
Which signs suggest acute cocaine intoxication?
ARed eyes, increased appetite, dry mouth and slowed reactions
BDilated pupils, a fast heart rate and high blood pressure
CPinpoint pupils, slow breathing and drowsiness
DSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
2.سهلة
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
APsychomotor agitation
BPsychomotor retardation
CAkathisia
DCatatonic excitement
3.سهلة
رجل منجذب إلى زميلة له يتهم زوجته بأنها تريد إقامة علاقة غرامية. أي آلية دفاعية هذه؟
Aالإسقاط
Bالنكوص
Cالتبرير
Dالقمع
4.متوسطة
يقول مريض مصاب بالفصام: "الأصوات تقول لي إنني شرير". أي استجابة هي الأفضل؟
A"أنا لا أسمع الأصوات، لكني أرى أنها تزعجك. ماذا تقول لك؟"
B"إذا كنت تسمع أصواتًا فلا بد أنك مريض جدًا."
C"الأصوات غير حقيقية، فتجاهلها فحسب."
D"لنترك الحديث عن الأصوات الآن. حدثني عن عائلتك وخططك بدلًا من ذلك."
5.متوسطة
Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?
AIt makes the benzodiazepine effect much stronger
BIt can cause sudden withdrawal and seizures
CIt causes a dangerous rise in blood sugar
DIt causes permanent memory loss after a single dose
6.متوسطة
A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?
ASevere weight gain in the first week
BNew or worsening suicidal thoughts or unusual changes in mood or behaviour
CSigns of physical dependence, because it is a controlled stimulant
DA dangerous rise in blood pressure after eating foods that contain tyramine
7.صعبة
After a serious bus accident, the nurse is helping uninjured survivors. Which action reflects psychological first aid?
ATell survivors that they will definitely develop PTSD
BGive every survivor a benzodiazepine at the scene to prevent long-term psychological problems from developing
CProvide safety, comfort and practical help, and connect people with their families and support
DAsk each survivor to describe the accident in full detail straight away
8.صعبة
The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?
ADischarge him to live alone in a flat, without any support from his family or the team
BAdvise the parents to stop all contact with their son
CTell the parents that they caused his illness
DFamily psychoeducation and help to communicate with less criticism
مفتاح الإجابات
1. B · Dilated pupils, a fast heart rate and high blood pressure
2. B · Psychomotor retardation
3. A · الإسقاط
4. A · "أنا لا أسمع الأصوات، لكني أرى أنها تزعجك. ماذا تقول لك؟"
5. B · It can cause sudden withdrawal and seizures
6. B · New or worsening suicidal thoughts or unusual changes in mood or behaviour
7. C · Provide safety, comfort and practical help, and connect people with their families and support
8. D · Family psychoeducation and help to communicate with less criticism
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