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الاسم: ____________________ التاريخ: ____________
1.سهلة
Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?
ASummarising
BExploring
CFocusing
DRestating
2.سهلة
أي مما يلي عَرَض سلبي في الفصام؟
Aفتور الهمة (انعدام الدافعية)
Bالسلوك غير المنظم
Cسماع الأصوات
Dالأوهام الاضطهادية
3.سهلة
According to Selye's general adaptation syndrome, what are the three stages of the stress response?
AOrientation, working and termination
BForming, storming and norming
CDenial, anger and acceptance
DAlarm, resistance and exhaustion
4.متوسطة
An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?
AMemory complaints in older adults are always caused by dementia
BOlder adults cannot be treated for depression
CDepression in older adults can look like dementia and is treatable
DLow mood after the loss of a partner is always normal grief and never needs any assessment
5.متوسطة
Which communication approach is best with a patient who has paranoid personality disorder?
ABe clear, honest and business-like, and explain the reasons for actions
BTalk about the patient with colleagues in whispers within his sight
CAvoid explaining anything so that the patient does not become suspicious
DBe very warm and joke often to put the patient at ease
6.متوسطة
A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?
AProvide a quiet, low-stimulation environment and keep staff and patient safe
BTry to talk the patient down by discussing his feelings in detail
CPut him in a busy area so that staff can watch him more easily
DEncourage him to walk around the ward and join in activities to help burn off the drug
7.صعبة
After witnessing a serious accident, a woman suddenly cannot move her legs. Full investigations are normal. Which nursing approach is most appropriate?
AIgnore her requests for help completely until she agrees to try to walk again on her own
BTell her that the paralysis is fake and that she should stand up
CAccept that the symptom is real for her, help with mobility needs and gently explore recent stress
DFocus every conversation on the details of her leg weakness
8.صعبة
مريض يُعالَج من الاعتماد على الأفيونات على وشك تلقي أول جرعة من البوبرينورفين. استعمل الهيروين آخر مرة قبل ساعتين. ما الخطر؟
Aلا خطر؛ ينبغي إعطاؤه فورًا
Bقد يسبب البوبرينورفين انسحابًا معجَّلًا إذا أُعطي بينما الناهضات الكاملة ما زالت فعّالة
Cلن يكون للبوبرينورفين أي تأثير على الإطلاق
Dسيضيف البوبرينورفين إلى الهيروين ويسبب جرعة زائدة خطيرة من الأفيونات مع تثبيط التنفس
مفتاح الإجابات
1. A · Summarising
2. A · فتور الهمة (انعدام الدافعية)
3. D · Alarm, resistance and exhaustion
4. C · Depression in older adults can look like dementia and is treatable
5. A · Be clear, honest and business-like, and explain the reasons for actions
6. A · Provide a quiet, low-stimulation environment and keep staff and patient safe
7. C · Accept that the symptom is real for her, help with mobility needs and gently explore recent stress
8. B · قد يسبب البوبرينورفين انسحابًا معجَّلًا إذا أُعطي بينما الناهضات الكاملة ما زالت فعّالة
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