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الاسم: ____________________ التاريخ: ____________
1.سهلة
Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?
AWeight gain and raised blood glucose
BExtrapyramidal side effects such as dystonia and pseudoparkinsonism
CRaised prolactin and breast enlargement
DLow white blood cell count
2.سهلة
A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?
AOffering self
BReflecting
CDefending
DSeeking clarification
3.سهلة
Which early feature is most typical of frontotemporal dementia?
AStepwise decline after a series of small strokes
BSevere memory loss as the very first symptom, with no change in behaviour
CChanges in personality and behaviour, such as loss of inhibition
DVisual hallucinations of people and animals
4.متوسطة
In the termination phase of the nurse–patient relationship, which behaviour is common and should be expected?
AThe patient finally begins to share their problems for the first time
BThe patient may show anger, sadness or a return of earlier symptoms
CThe patient asks for the relationship to start again from the beginning
DThe patient always feels relieved and shows no feelings
5.متوسطة
Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?
ASudden muscle spasm of the neck with the eyes rolled upwards
BShuffling gait, mask-like face, rigidity and a resting tremor
CRestless pacing and an inability to sit still
DLip smacking, tongue thrusting and grimacing after years of treatment
6.متوسطة
What is the CIWA-Ar scale used for?
AMeasuring the depth of sedation in patients on a ventilator in intensive care
BMeasuring the risk of falls in hospital
CRating the severity of alcohol withdrawal to guide treatment
DScreening for dementia in older adults
7.صعبة
A patient with PTSD is having a nightmare and thrashing in bed. What is the safest way for the nurse to wake him?
AShake him firmly by the shoulders until he is fully awake
BHold his arms down firmly so that he cannot hit anyone or hurt himself while he is still asleep
CStand at a safe distance, say his name clearly and tell him where he is
DTurn on all the lights and shout loudly so that he wakes up quickly
8.صعبة
مباشرة بعد جلسة ECT، يكون المريض ناعسًا في منطقة الإفاقة. ما أولوية التمريض؟
Aمطالبة المريض بالمشي عائدًا إلى الجناح وحده
Bإعطاؤه إفطارًا كبيرًا فورًا
Cالحفاظ على المجرى الهوائي، ووضع المريض على جنبه، ومراقبة العلامات الحيوية
Dاختبار ذاكرة المريض طويلة الأمد بالتفصيل للتحقق من أي ضرر دائم
مفتاح الإجابات
1. B · Extrapyramidal side effects such as dystonia and pseudoparkinsonism
2. C · Defending
3. C · Changes in personality and behaviour, such as loss of inhibition
4. B · The patient may show anger, sadness or a return of earlier symptoms
5. B · Shuffling gait, mask-like face, rigidity and a resting tremor
6. C · Rating the severity of alcohol withdrawal to guide treatment
7. C · Stand at a safe distance, say his name clearly and tell him where he is
8. C · الحفاظ على المجرى الهوائي، ووضع المريض على جنبه، ومراقبة العلامات الحيوية
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