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1.سهلة
Which signs suggest acute cocaine intoxication?
APinpoint pupils, slow breathing and drowsiness
BDilated pupils, a fast heart rate and high blood pressure
CRed eyes, increased appetite, dry mouth and slowed reactions
DSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
2.سهلة
To which drug class does methylphenidate belong?
AAntipsychotics
BMood stabilisers
CBenzodiazepines
DCentral nervous system stimulants
3.سهلة
لماذا يُعطى الثيامين (فيتامين B1) للمرضى المعتمدين على الكحول؟
Aلتقليل الرغبة الشديدة في الكحول
Bللوقاية من اعتلال الدماغ فيرنيكه أو علاجه
Cلعلاج تشمع الكبد
Dلجعل طعم الكحول غير مستساغ
4.متوسطة
A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?
A"I'll tell any new doctor or dentist that I take an MAOI."
B"I'll avoid aged cheese and cured meats."
C"I can take any cold and flu remedy from the pharmacy."
D"A sudden severe headache is a reason to get help straight away."
5.متوسطة
A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?
AGeneralised anxiety disorder
BAgoraphobia
CObsessive-compulsive disorder
DSocial anxiety disorder
6.متوسطة
A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?
A"You shouldn't say things like that."
B"Tell me more about what that feeling is like for you."
C"Let's talk about something more cheerful."
D"Everyone feels that way sometimes."
7.صعبة
During a session, a patient asks the nurse, "Are you married? Do you have children?" Which response is most appropriate?
AEnd the session because personal questions are not allowed
BIgnore the question completely and stay silent until the patient changes the subject
CShare details about the nurse's family to build a friendship
DAnswer briefly or decline politely, then return the focus to the patient
8.صعبة
On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?
AExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
BArrange an emergency psychiatric admission today
CAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover
DTell her that antidepressants must be started at once
مفتاح الإجابات
1. B · Dilated pupils, a fast heart rate and high blood pressure
2. D · Central nervous system stimulants
3. B · للوقاية من اعتلال الدماغ فيرنيكه أو علاجه
4. C · "I can take any cold and flu remedy from the pharmacy."
5. D · Social anxiety disorder
6. B · "Tell me more about what that feeling is like for you."
7. D · Answer briefly or decline politely, then return the focus to the patient
8. A · Explain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
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