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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the main focus of the recovery model in mental health care?
ALong-term hospital care for everyone with serious mental illness
BComplete removal of all symptoms before the person can start to build a good and meaningful life
CProfessionals making all decisions for patients for their own good
DHope, self-determination and living a meaningful life, even if some symptoms continue
2.سهلة
What is a psychiatric advance directive (advance statement)?
AA note from the doctor that lists the patient's diagnoses
BA document in which a person states their treatment wishes for a time when they may lack capacity
CA contract in which the patient promises the team to take every prescribed medicine for life
DA court order that allows a patient to be detained in hospital
3.سهلة
What is systematic desensitisation?
AA medicine that reduces anxiety within minutes of being taken
BGradual exposure to a feared situation, step by step, while using relaxation
CTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
DSudden and prolonged exposure to the most feared situation at once
4.متوسطة
Which side effects are most common with quetiapine?
AA cough and swollen ankles
BInsomnia and severe weight loss
CHigh prolactin with breast enlargement in almost every patient
DSedation, dizziness when standing and weight gain
5.متوسطة
A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?
A"I'm sure everybody likes you."
B"Why do you care what people at work think?"
C"You should find a new job where people like you."
D"What evidence do you have that nobody likes you?"
6.متوسطة
يجيب مريض عن سؤال حول الإفطار: "البيض يأتي من الدجاج، والدجاج يعيش في المزارع، وكان لعمي مزرعة، وكان يقود جرارًا أحمر…" ولا يجيب أبدًا. ما اسم ذلك؟
Aالاستطراد المماسّي (tangentiality)
Bالإسهاب (circumstantiality)
Cسلطة الكلمات (word salad)
Dانقطاع التفكير
7.صعبة
A patient on suicide precautions asks for his razor to shave. What is the most appropriate response?
AFollow policy, for example by supervising the shave or offering an electric razor
BLet another patient lend him a razor so that staff do not need to be involved and he can keep his privacy
CRefuse, and tell him he cannot shave at all while in hospital
DGive him the razor, because he has the right to his own belongings
8.صعبة
A patient who has taken haloperidol for many years now has repeated lip smacking and tongue movements. Which action is most appropriate?
AIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
BReassure the patient that the movements will soon stop on their own
CReport the movements, assess them with a scale such as the AIMS and ask for a medication review
DGive benztropine, because it reliably reverses these movements
مفتاح الإجابات
1. D · Hope, self-determination and living a meaningful life, even if some symptoms continue
2. B · A document in which a person states their treatment wishes for a time when they may lack capacity
3. B · Gradual exposure to a feared situation, step by step, while using relaxation
4. D · Sedation, dizziness when standing and weight gain
5. D · "What evidence do you have that nobody likes you?"
6. A · الاستطراد المماسّي (tangentiality)
7. A · Follow policy, for example by supervising the shave or offering an electric razor
8. C · Report the movements, assess them with a scale such as the AIMS and ask for a medication review
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