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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the main aim of motivational interviewing?
ATo confront the person firmly until they admit they have a problem
BTo tell the person exactly what they must do to recover
CTo frighten the person with the worst possible health consequences of their drinking
DTo help the person explore and resolve their mixed feelings about change
2.سهلة
What is the main difference between bipolar I and bipolar II disorder?
ABipolar I involves only depression; bipolar II involves only mania
BBipolar II is always more severe than bipolar I
CBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
DBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
3.سهلة
Why are benzodiazepines used with caution in older adults?
AThey raise blood pressure to dangerous levels after a single dose
BThey have no effect on the brain in older people
CThey cause rapid weight gain and diabetes in all older adults
DThey increase the risk of confusion, falls and fractures
4.متوسطة
أي أثر جانبي للكلوزابين قد يهدد الحياة وكثيرًا ما يُغفَل؟
Aإمساك شديد يؤدي إلى انسداد الأمعاء
Bالنعاس
Cزيادة طفيفة في الوزن
Dزيادة اللعاب
5.متوسطة
A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?
AProvide a quiet, low-stimulation environment and keep staff and patient safe
BTry to talk the patient down by discussing his feelings in detail
CPut him in a busy area so that staff can watch him more easily
DEncourage him to walk around the ward and join in activities to help burn off the drug
6.متوسطة
A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?
AKeep to his usual routines where possible and prepare him for any changes
BChange his daily routine often, to help him get used to change
CPut him in a busy bay with lots of noise and activity to keep him stimulated
DAvoid his parents' advice, because staff know best how to care for him
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
BTell him firmly that he has been retired for 20 years
CUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit
DLock him in his room so that he cannot leave
8.صعبة
A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?
AAgree a simple daily routine with small, achievable activities and give positive feedback
BLet him stay in bed, because negative symptoms cannot change
CTell him firmly that he will lose his ward privileges unless he gets up and showers at once
DWait until he asks to join activities before involving him
مفتاح الإجابات
1. D · To help the person explore and resolve their mixed feelings about change
2. D · Bipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
3. D · They increase the risk of confusion, falls and fractures
4. A · إمساك شديد يؤدي إلى انسداد الأمعاء
5. A · Provide a quiet, low-stimulation environment and keep staff and patient safe
6. A · Keep to his usual routines where possible and prepare him for any changes
7. A · Walk with him, acknowledge his concern and gently redirect him to an activity
8. A · Agree a simple daily routine with small, achievable activities and give positive feedback
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