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الاسم: ____________________ التاريخ: ____________
1.سهلة
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
ADelusions, hallucinations and disorganised speech
BInattention, hyperactivity and impulsivity
CLow mood, loss of interest and poor sleep
DObsessions, compulsions and repeated checking
2.سهلة
A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?
APresenting reality
BGiving recognition
CVoicing doubt
DGiving approval
3.سهلة
When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?
AThought blocking
BFlight of ideas
CConcrete thinking
DTangential thinking
4.متوسطة
A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?
ADo vigorous exercise in the bedroom until tired enough to fall asleep straight away
BStay in bed and watch television or use a phone until sleep finally comes
CIf still awake after about 20 minutes, get up, do something calm and return when sleepy
DLook at the clock often to check how much sleep is being lost
5.متوسطة
Which risk applies when antipsychotics are used in older people with dementia?
AAn increased risk of stroke and death
BA lower risk of falls than with no medicine at all
CA guaranteed cure of the dementia
DImproved memory within a few days
6.متوسطة
يقول مريض: "سأتناول الحبّة، والقبّة، والرُّبّة، والجُبّة". ما اسم ذلك؟
Aالكلمات المستحدثة (neologism)
Bالترديد الببغائي (echolalia)
Cالترابط بالتجانس الصوتي (clang association)
Dالمداومة
7.صعبة
A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?
ATell him to lie down in his room, rest and stop worrying so much about his health
BAgree with the colleague and give him a PRN anxiolytic
CAssess him physically, with vital signs and an ECG if indicated
DIgnore the complaint until he mentions it again
8.صعبة
A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?
AArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
BAsk the doctor to order new tests every time she reports a symptom
CTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
DStop answering her calls, because the symptoms are imaginary
مفتاح الإجابات
1. B · Inattention, hyperactivity and impulsivity
2. B · Giving recognition
3. C · Concrete thinking
4. C · If still awake after about 20 minutes, get up, do something calm and return when sleepy
5. A · An increased risk of stroke and death
6. C · الترابط بالتجانس الصوتي (clang association)
7. C · Assess him physically, with vital signs and an ECG if indicated
8. A · Arrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
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