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1.سهلة
In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?
A2 months
B2 years
C6 weeks
D2 weeks
2.سهلة
Which signs suggest acute cocaine intoxication?
ADilated pupils, a fast heart rate and high blood pressure
BPinpoint pupils, slow breathing and drowsiness
CRed eyes, increased appetite, dry mouth and slowed reactions
DSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
3.سهلة
أي علامة نموذجية لنوبة الهوس؟
Aالنوم 14 ساعة يوميًا
Bانخفاض الحاجة إلى النوم مع طاقة عالية
Cمشاعر انعدام القيمة
Dبطء الكلام والحركة
4.متوسطة
A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?
AIbuprofen will make the sertraline work faster
BThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
CThe combination is completely safe because they act on different systems
DIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
5.متوسطة
What should a patient starting zolpidem for insomnia be taught to report?
AFeeling slightly more rested and alert the next morning than before starting the medicine
BDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
CFeeling sleepy about 30 minutes after taking it at bedtime
DSleeping through the night without waking up
6.متوسطة
Which nurse statement is most consistent with motivational interviewing?
A"You're an alcoholic, and you need to admit it."
B"If you don't stop drinking now, you'll die."
C"What would be different for you if you drank less?"
D"I've decided that you need to stop drinking completely."
7.صعبة
On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?
AArrange an emergency psychiatric admission today
BExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
CAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover
DTell her that antidepressants must be started at once
8.صعبة
A patient in a mental health unit asks to read his own health records. What is the correct general principle?
APsychiatric patients are never allowed to see their records
BPatients generally have a right of access, with limited exceptions to prevent serious harm
COnly his family can request access to his records on his behalf
DThe nurse should give him the records immediately without following any procedure
مفتاح الإجابات
1. B · 2 years
2. A · Dilated pupils, a fast heart rate and high blood pressure
3. B · انخفاض الحاجة إلى النوم مع طاقة عالية
4. B · The combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
5. B · Doing things while not fully awake, such as sleepwalking or driving, with no memory of it
6. C · "What would be different for you if you drank less?"
7. B · Explain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
8. B · Patients generally have a right of access, with limited exceptions to prevent serious harm
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