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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is malingering?
APhysical symptoms caused by stress that the person does not produce on purpose
BExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors
CProducing symptoms on purpose to take on the role of a sick person, without any external gain
DIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
2.سهلة
عُكست جرعة زائدة من الأفيونات بالنالوكسون، والمريض الآن مستيقظ. لماذا ما زال يجب مراقبته عن كثب؟
Aقد يزول مفعول النالوكسون قبل الأفيون، فيتباطأ تنفسه من جديد
Bالنالوكسون نفسه يسبب بطء التنفس بعد عدة ساعات أثناء تحلله
Cلا حاجة إلى مراقبته ما دام مستيقظًا
Dالنالوكسون يجعل الأفيون يعمل ضعف المدة
3.سهلة
In DSM-5, gambling disorder is grouped with which category of disorders?
APersonality disorders in Cluster B
BSubstance-related and addictive disorders
CNeurocognitive disorders such as dementia
DAnxiety disorders and phobias
4.متوسطة
Which question is the best way to ask a patient about suicidal thoughts?
A"Things aren't that bad, are they?"
B"You wouldn't hurt yourself, would you?"
C"Are you having thoughts of killing yourself?"
D"You're not thinking of doing anything silly, are you?"
5.متوسطة
A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?
ALithium toxicity
BHypertensive crisis from tyramine
CSerotonin syndrome
DAgranulocytosis
6.متوسطة
A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?
ANihilistic
BSomatic
CGrandiose
DErotomanic
7.صعبة
A patient with depression answers every question with one or two words and looks at the floor. Which approach is most helpful?
AEncourage him to cheer up and think about the good things in his life
BAsk several open questions in quick succession to keep the conversation going
CUse simple statements, allow extra time for answers and stay with the patient even in silence
DEnd the conversation quickly, because the patient clearly does not want to talk
8.صعبة
The parent of a 16-year-old taking a stimulant for ADHD says her son's friends keep asking him for his tablets. What should the nurse teach?
ASharing is fine as long as the friends are the same age
BStore it securely and never share it, because stimulants are controlled drugs
CStop the medicine so that there is no risk of sharing
DGive the friends a smaller dose if they ask, so that they do not have side effects
مفتاح الإجابات
1. D · Intentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
2. A · قد يزول مفعول النالوكسون قبل الأفيون، فيتباطأ تنفسه من جديد
3. B · Substance-related and addictive disorders
4. C · "Are you having thoughts of killing yourself?"
5. C · Serotonin syndrome
6. C · Grandiose
7. C · Use simple statements, allow extra time for answers and stay with the patient even in silence
8. B · Store it securely and never share it, because stimulants are controlled drugs
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