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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is trichotillomania?
AHair loss caused by lithium treatment
BA fungal infection of the scalp that is common in people with OCD
CRepeatedly pulling out one's own hair, leading to hair loss
DA fear of hair, combs and hairdressers
2.سهلة
According to crisis theory, how long does an acute crisis usually last before it resolves in some way?
AAbout 1 year
BAbout 2–3 hours
CAbout 4–6 weeks
DAbout 5 years
3.سهلة
أي أعراض هي علامات مبكرة لسمية الليثيوم؟
Aزيادة الوزن وجفاف الفم فقط
Bغثيان وقيء وإسهال ورعاش خشن
Cحكة وطفح جلدي
Dارتفاع ضغط الدم واحمرار الوجه وصداع شديد
4.متوسطة
Which feature helps distinguish normal grief from major depression?
AIn grief, the person feels worthless and hopeless all the time
BIn grief, painful feelings come in waves and self-esteem is usually kept
CIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died
DGrief always lasts less than 2 weeks
5.متوسطة
Which preparation is usual before electroconvulsive therapy (ECT)?
ANo preparation, because the patient stays fully awake during ECT
BEating a large meal to prevent low blood sugar during the seizure
CStopping all regular medicines for 2 weeks before the first treatment
DFasting for several hours, because a brief general anaesthetic is given
6.متوسطة
Which tool is widely used to screen for delirium at the bedside?
AThe CIWA-Ar
BThe Abnormal Involuntary Movement Scale (AIMS)
CThe Confusion Assessment Method (CAM)
DThe CAGE questionnaire
7.صعبة
A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?
ATell her she will be tube-fed if she does it again
BPraise her for being so active and motivated, because it shows she is taking care of her health
CCalmly follow the agreed care plan on activity and observation, without arguing or punishing
DIgnore it, because exercise is always healthy
8.صعبة
A woman who takes lithium for bipolar disorder tells the nurse she would like to become pregnant. What is the best response?
A"Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
B"Lithium is completely safe in pregnancy, so there is no need to change anything at all."
C"You'll need to choose between treating your bipolar disorder and having a baby."
D"Stop the lithium today so that it is out of your body before you get pregnant."
مفتاح الإجابات
1. C · Repeatedly pulling out one's own hair, leading to hair loss
2. C · About 4–6 weeks
3. B · غثيان وقيء وإسهال ورعاش خشن
4. B · In grief, painful feelings come in waves and self-esteem is usually kept
5. D · Fasting for several hours, because a brief general anaesthetic is given
6. C · The Confusion Assessment Method (CAM)
7. C · Calmly follow the agreed care plan on activity and observation, without arguing or punishing
8. A · "Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
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