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الاسم: ____________________ التاريخ: ____________
1.سهلة
لماذا يُعدّ الجمع بين البنزوديازيبين والكحول خطيرًا؟
Aيسبب الجمع ارتفاع ضغط الدم
Bيسبب الجمع متلازمة السيروتونين
Cكلاهما يثبّط الجهاز العصبي المركزي وقد يسبب تثبيطًا تنفسيًا
Dيُسرّع الكحول تحلل البنزوديازيبين فيتوقف عن العمل
2.سهلة
What is countertransference?
AThe patient's feelings towards the nurse, based on earlier relationships
BThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
CThe patient repeating the nurse's words and gestures without understanding their meaning
DThe transfer of a patient's care to another nurse at the end of a shift
3.سهلة
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
APsychomotor retardation
BCatatonic excitement
CPsychomotor agitation
DAkathisia
4.متوسطة
A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?
AIt must be taken with grapefruit juice to be absorbed
BIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
CIt is safe in pregnancy and needs no special precautions
DIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
5.متوسطة
A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?
AExplore the experience in her cultural context before calling it a symptom
BAvoid asking about it, because culture is not relevant to mental health
CTell her that her beliefs are not real
DRecord it immediately as a command hallucination
6.متوسطة
ما الآثار الضائرة الخطيرة المرتبطة بالكاربامازيبين؟
Aفقدان وزن سريع
Bنمو الشعر وتضخم اللثة فقط، وهما مشكلتان تجميليتان في الأساس
Cاضطرابات الدم مثل ندرة المحببات، وتفاعلات جلدية شديدة
Dفقدان السمع
7.صعبة
A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?
AReport the concerns through child protection procedures and ensure the child's safety
BAccept the parents' explanation, because babies often fall
CDischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
DTell the parents that the nurse knows they are abusing the child
8.صعبة
A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?
ADischarge the child home with the mother as soon as possible
BDocument the event carefully in the notes and wait to see whether it happens again before telling anyone else
CEnsure the child's safety and follow child protection procedures
DDiscuss the matter with the mother alone and ask her to stop
مفتاح الإجابات
1. C · كلاهما يثبّط الجهاز العصبي المركزي وقد يسبب تثبيطًا تنفسيًا
2. B · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
3. A · Psychomotor retardation
4. D · It can seriously harm an unborn baby, so effective contraception and specialist advice are essential
5. A · Explore the experience in her cultural context before calling it a symptom
6. C · اضطرابات الدم مثل ندرة المحببات، وتفاعلات جلدية شديدة
7. A · Report the concerns through child protection procedures and ensure the child's safety
8. C · Ensure the child's safety and follow child protection procedures
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