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الاسم: ____________________ التاريخ: ____________
1.سهلة
Why are benzodiazepines used with caution in older adults?
AThey raise blood pressure to dangerous levels after a single dose
BThey have no effect on the brain in older people
CThey increase the risk of confusion, falls and fractures
DThey cause rapid weight gain and diabetes in all older adults
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?
ADefending
BReflecting
CSeeking clarification
DOffering self
3.سهلة
What is separation anxiety disorder in a child?
ANormal crying when a baby meets a stranger for the first time
BA lack of interest in parents and other close carers, with no distress when they leave
CExcessive, developmentally inappropriate fear of being apart from attachment figures
DFear of social situations in which other children may laugh at them
4.متوسطة
A patient at risk of suicide is admitted. Which environmental check is most important?
AMake sure the patient has a television in the room
BLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home
CRemove items that could be used for self-harm, such as belts, cords and sharp objects
DPlace the patient in a room at the end of the corridor for privacy
5.متوسطة
A woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?
AAcute stress disorder
BAdjustment disorder with anxiety
CPost-traumatic stress disorder
DGeneralised anxiety disorder
6.متوسطة
What is the CIWA-Ar scale used for?
AMeasuring the risk of falls in hospital
BScreening for dementia in older adults
CRating the severity of alcohol withdrawal to guide treatment
DMeasuring the depth of sedation in patients on a ventilator in intensive care
7.صعبة
تطلب مريضة من الممرضة أن تعدها بألا تخبر أحدًا بأنها تخطط لقتل نفسها. ما أفضل استجابة؟
Aالوعد بالاحتفاظ بالسر لتواصل الحديث وتثق بك، وعدم تسجيله في ملاحظاتها أو إخبار الفريق
Bتغيير الموضوع
Cالشرح بلطف أنك لا تستطيعين الاحتفاظ بهذا السر لأن سلامتها مهمة، وأنك بحاجة إلى مشاركته مع الفريق
Dإخبارها بأنك ستفكرين في الأمر
8.صعبة
A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?
ATell him to go home now and come back tomorrow morning when he feels calmer and safer
BLet him leave, because voluntary patients can always go when they want
CStay with him and inform the team at once, so he can be urgently assessed under mental health law
DAsk him to promise that he will not jump, and then let him go home on his own
مفتاح الإجابات
1. C · They increase the risk of confusion, falls and fractures
2. A · Defending
3. C · Excessive, developmentally inappropriate fear of being apart from attachment figures
4. C · Remove items that could be used for self-harm, such as belts, cords and sharp objects
5. A · Acute stress disorder
6. C · Rating the severity of alcohol withdrawal to guide treatment
7. C · الشرح بلطف أنك لا تستطيعين الاحتفاظ بهذا السر لأن سلامتها مهمة، وأنك بحاجة إلى مشاركته مع الفريق
8. C · Stay with him and inform the team at once, so he can be urgently assessed under mental health law
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