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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the main difference between bipolar I and bipolar II disorder?
ABipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
BBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
CBipolar I involves only depression; bipolar II involves only mania
DBipolar II is always more severe than bipolar I
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 court order that allows a patient to be detained in hospital
DA contract in which the patient promises the team to take every prescribed medicine for life
3.سهلة
بعد أن انتقدها مديرها، تعود امرأة إلى البيت وتصرخ في أطفالها. أي آلية دفاعية هذه؟
Aالإبطال
Bالإزاحة
Cالإنكار
Dتكوين رد الفعل
4.متوسطة
أي مجموعة من العلامات توحي بمتلازمة السيروتونين؟
Aحرارة منخفضة وبطء القلب
Bهياج وتعرق ورعاش وفرط منعكسات ورمع عضلي تبدأ خلال ساعات من تغيير دوائي
Cتصلب يتطور ببطء مع منعكسات منخفضة وحمّى مرتفعة على مدى عدة أيام بعد مضاد للذهان
Dزيادة الوزن وجفاف الفم
5.متوسطة
Which postpartum presentation is a psychiatric emergency?
ATearfulness and mood swings on the third day after birth
BTiredness and worry about feeding the baby in the first week
CFeeling tearful at times but enjoying the baby and sleeping well when she can
DConfusion, hallucinations and rapidly changing mood a few days after birth
6.متوسطة
أي عامل هو من أقوى منبئات الانتحار في المستقبل؟
Aالزواج
Bوجود إيمان ديني قوي
Cوجود عمل مستقر
Dمحاولة انتحار سابقة
7.صعبة
An older woman living with her son looks thin and unkempt. She says her son "looks after the money" and she is often hungry. What should the nurse do?
AAsk the son in front of her whether he is stealing her money
BIgnore it, because family finances are a private matter
CTalk to her privately, document the findings and raise an adult safeguarding concern
DTell her that she must move out of her son's home at once and stay with friends until the matter is sorted out
8.صعبة
A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?
AHold the serotonergic medicines and inform the prescriber urgently
BGive paracetamol (acetaminophen) and check her again tomorrow
CGive the next dose of venlafaxine as planned
DEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching
مفتاح الإجابات
1. A · Bipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
2. B · A document in which a person states their treatment wishes for a time when they may lack capacity
3. B · الإزاحة
4. B · هياج وتعرق ورعاش وفرط منعكسات ورمع عضلي تبدأ خلال ساعات من تغيير دوائي
5. D · Confusion, hallucinations and rapidly changing mood a few days after birth
6. D · محاولة انتحار سابقة
7. C · Talk to her privately, document the findings and raise an adult safeguarding concern
8. A · Hold the serotonergic medicines and inform the prescriber urgently
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