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الاسم: ____________________ التاريخ: ____________
1.سهلة
In behaviour therapy, what is positive reinforcement?
ARemoving a reward so that a behaviour becomes less likely
BIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
CAdding an unpleasant consequence so that a behaviour stops
DAdding a reward after a behaviour so that the behaviour becomes more likely
2.سهلة
A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?
AClang association
BFlight of ideas
CThought blocking
DWord salad
3.سهلة
What is a token economy?
AA form of punishment in which a privilege is removed for every ward rule that the patient breaks
BA method of group therapy based on discussing money problems
CA system that lets patients pay for their own medicines and snacks while on the ward
DA programme in which patients earn tokens for target behaviours and swap them for rewards
4.متوسطة
A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?
AThe combination is completely safe because they act on different systems
BIbuprofen will make the sertraline work faster
CIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
DThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
5.متوسطة
A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?
AHyperthyroidism
BHypothyroidism
CAgranulocytosis
DSerotonin syndrome
6.متوسطة
بعد ساعات قليلة من الجرعة الأولى من الهالوبيريدول، يلتوي عنق شاب إلى جانب وتتدحرج عيناه إلى أعلى. ما هذا؟
Aخلل الحركة المتأخر
Bمتلازمة السيروتونين
Cخلل التوتر الحاد
Dالمتلازمة الخبيثة للمهدئات العصبية
7.صعبة
A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?
AWalk with him, acknowledge his concern and gently redirect him to an activity
BUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit
CLock him in his room so that he cannot leave
DTell him firmly that he has been retired for 20 years
8.صعبة
A patient who believes he is a famous religious leader becomes upset when other patients laugh at him. What is the most appropriate nursing action?
AAgree that he is the religious leader so that he feels respected
BEncourage the other patients to explain why the belief is wrong
CProtect him from ridicule, avoid arguing and focus on real activities
DAsk him to prove his identity in front of the group, so that the laughing stops
مفتاح الإجابات
1. D · Adding a reward after a behaviour so that the behaviour becomes more likely
2. C · Thought blocking
3. D · A programme in which patients earn tokens for target behaviours and swap them for rewards
4. D · The combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
5. B · Hypothyroidism
6. C · خلل التوتر الحاد
7. A · Walk with him, acknowledge his concern and gently redirect him to an activity
8. C · Protect him from ridicule, avoid arguing and focus on real activities
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