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1.سهلة
According to Erikson, what is the main psychosocial task of adolescence?
ATrust versus mistrust
BIntegrity versus despair
CIndustry versus inferiority
DIdentity versus role confusion
2.سهلة
A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?
AAvoidant
BSchizoid
CHistrionic
DDependent
3.سهلة
What is a token economy?
AA form of punishment in which a privilege is removed for every ward rule that the patient breaks
BA system that lets patients pay for their own medicines and snacks while on the ward
CA method of group therapy based on discussing money problems
DA programme in which patients earn tokens for target behaviours and swap them for rewards
4.متوسطة
Which action reflects trauma-informed care?
AUsing physical restraint early to prevent any loss of control
BExplaining each procedure in advance and offering choices wherever possible
CAsking the patient to repeat the full trauma story to each new staff member
DMaking all decisions for the patient so that she does not feel burdened
5.متوسطة
According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?
AAt least 2 weeks of continuous symptoms
BAt least 1 month, with no further time required
CAt least 2 years, including 6 months of active symptoms
DAt least 6 months, including at least 1 month of active symptoms
6.متوسطة
A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?
A"The man will go away if you ignore him."
B"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
C"I don't see anyone in the corner, but I know it seems real to you."
D"What does the man in the corner look like?"
7.صعبة
An 82-year-old started amitriptyline last week. Which finding is most concerning?
AA slightly dry mouth
BFeeling a little drowsy in the evening
CMild constipation that responds to extra fluids and fibre in the diet
DNew confusion and difficulty passing urine
8.صعبة
On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?
ACarrying out the full admission suicide risk assessment of a newly admitted patient
BTeaching a patient about the side effects of lithium
CAccompanying a stable patient to the dining room and recording his food intake
DEvaluating whether a PRN medicine given an hour ago has worked
مفتاح الإجابات
1. D · Identity versus role confusion
2. B · Schizoid
3. D · A programme in which patients earn tokens for target behaviours and swap them for rewards
4. B · Explaining each procedure in advance and offering choices wherever possible
5. D · At least 6 months, including at least 1 month of active symptoms
6. C · "I don't see anyone in the corner, but I know it seems real to you."
7. D · New confusion and difficulty passing urine
8. C · Accompanying a stable patient to the dining room and recording his food intake
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