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الاسم: ____________________ التاريخ: ____________
1.سهلة
In a mental status examination, what does assessing orientation check?
AWhether the patient knows the time, the place and who they are
BWhether the patient can interpret proverbs and explain their meaning
CWhether the patient's mood matches the facial expression and tone of voice
DWhether the patient understands that they are ill and needs treatment for it
2.سهلة
What are the two core areas affected in autism spectrum disorder?
AReading and writing only, with completely normal social skills and play
BMood and appetite, which change with the seasons
CSocial communication and interaction, and restricted, repetitive behaviours or interests
DMemory and orientation to time and place
3.سهلة
In substance use, what does "tolerance" mean?
AHaving withdrawal symptoms when the substance is stopped suddenly
BNeeding more of the substance to get the same effect
CBeing able to stop using the substance at any time without symptoms
DFeeling a strong craving to use the substance after a long period without it
4.متوسطة
The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?
AGive it just before bedtime so that it works overnight
BIt causes weight gain, so offer fewer snacks during the day
CIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
DGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
5.متوسطة
A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?
AAvoid showering or changing clothes, and bring any clothing already removed in a paper bag
BShower and wash her clothes before coming in, so she feels cleaner
CWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination
DPut all clothing in a sealed plastic bag
6.متوسطة
A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?
AIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
BTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
CGive her a lot of extra attention for the rest of the day
DScold her for breaking the ward rules and remove all her privileges
7.صعبة
تقول مريضة إنها جمعت كمية كبيرة من الأقراص في البيت وتخطط لتناولها كلها في عطلة نهاية الأسبوع هذه. ما الإجراء ذو الأولوية؟
Aإخبارها بأن الأمور ستبدو أفضل بعد عطلة نهاية الأسبوع
Bترتيب موعد متابعة روتيني بعد شهر
Cمطالبتها بالتوقيع على وعد مكتوب بعدم إيذاء نفسها، ثم السماح لها بالذهاب إلى البيت في عطلة نهاية الأسبوع كما هو مخطط
Dإبقاؤها تحت مراقبة دقيقة، وضمان سلامتها الفورية، وإبلاغ الفريق بشكل عاجل
8.صعبة
A man with gambling disorder has lost his savings and has large debts. He tells the nurse, "My family would be better off without me." What should the nurse do?
AReassure him that his family will forgive him
BAsk directly about suicidal thoughts and plans, and assess his risk
CFocus only on helping him create a budget
DChange the subject to his gambling triggers and how to avoid the betting shop
مفتاح الإجابات
1. A · Whether the patient knows the time, the place and who they are
2. C · Social communication and interaction, and restricted, repetitive behaviours or interests
3. B · Needing more of the substance to get the same effect
4. D · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
5. A · Avoid showering or changing clothes, and bring any clothing already removed in a paper bag
6. B · Treat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
7. D · إبقاؤها تحت مراقبة دقيقة، وضمان سلامتها الفورية، وإبلاغ الفريق بشكل عاجل
8. B · Ask directly about suicidal thoughts and plans, and assess his risk
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