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الاسم: ____________________ التاريخ: ____________
1.سهلة
A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?
AGiving approval
BPresenting reality
CGiving recognition
DVoicing doubt
2.سهلة
To which drug class does donepezil belong?
ACholinesterase inhibitors
BBenzodiazepines
CDopamine antagonists
DSelective serotonin reuptake inhibitors
3.سهلة
After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?
AProjection
BSublimation
CDenial
DUndoing
4.متوسطة
Which action reflects trauma-informed care?
AMaking all decisions for the patient so that she does not feel burdened
BUsing physical restraint early to prevent any loss of control
CAsking the patient to repeat the full trauma story to each new staff member
DExplaining each procedure in advance and offering choices wherever possible
5.متوسطة
Which side effects should the nurse monitor for in a patient starting donepezil?
AWeight gain and high blood glucose
BTremor, thirst and passing large amounts of urine
CNausea, diarrhoea and a slow heart rate
DDry mouth, constipation and urinary retention
6.متوسطة
يتحول مريض من مثبّط MAOI إلى مثبّط SSRI. ما الضروري؟
Aفترة تصفية نحو أسبوعين قبل بدء SSRI
Bبدء SSRI في اليوم نفسه
Cتناول الدواءين معًا لمدة شهر
Dمضاعفة جرعة SSRI في البداية
7.صعبة
A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?
AHaloperidol will make his hallucinations more frequent
BThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
CHaloperidol does not work in older patients at all
DThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
8.صعبة
During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?
AIgnore the question completely and stay silent until the patient changes the subject
BShare details about the nurse's family to build a friendship
CAnswer briefly or decline politely, then return the focus to the patient
DEnd the session because personal questions are not allowed
مفتاح الإجابات
1. C · Giving recognition
2. A · Cholinesterase inhibitors
3. D · Undoing
4. D · Explaining each procedure in advance and offering choices wherever possible
5. C · Nausea, diarrhoea and a slow heart rate
6. A · فترة تصفية نحو أسبوعين قبل بدء SSRI
7. B · These patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
8. C · Answer briefly or decline politely, then return the focus to the patient
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