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नाम: ____________________ दिनांक: ____________
1.आसान
To which drug class does donepezil belong?
ABenzodiazepines
BDopamine antagonists
CCholinesterase inhibitors
DSelective serotonin reuptake inhibitors
2.आसान
A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?
ARestating
BChanging the subject
CFocusing
DSummarising
3.आसान
A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?
AWaxy flexibility
BAkathisia
CTardive dyskinesia
DEchopraxia
4.मध्यम
निष्कर्षों का कौन-सा समूह सेरोटोनिन सिंड्रोम का संकेत देता है?
Aएंटीसाइकोटिक के बाद कई दिनों में धीरे-धीरे विकसित होती कठोरता, कम प्रतिवर्तों और तेज़ बुखार के साथ
Bनिम्न तापमान और धीमी हृदय गति
Cवज़न बढ़ना और मुँह सूखना
Dदवा बदलने के घंटों के भीतर शुरू होने वाली उत्तेजना, पसीना, कंपन, अतिप्रतिवर्तता और क्लोनस
5.मध्यम
Which treatment is recommended first-line for chronic insomnia in adults?
ADrinking alcohol in the evening to fall asleep
BLong-term daily benzodiazepines
CCognitive behavioural therapy for insomnia (CBT-I)
DStaying in bed for longer each morning
6.मध्यम
A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?
AThe combination will cause high blood pressure
BThere is no interaction between these two drugs
CIncreased sedation and respiratory depression
DThe diazepam will block the pain-relieving effect of oxycodone
7.कठिन
A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?
AThat she is trying to manipulate the staff
BThat she needs an antipsychotic to control her behaviour
CThat the behaviour is part of her disability and needs no assessment
DA physical cause such as dental pain, an ear infection or constipation
8.कठिन
A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?
AReduce monitoring, because a higher score on this scale means that his withdrawal is improving
BEncourage him to drink a large glass of wine to settle the symptoms
CGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
DWait for the next routine score in four hours before deciding
उत्तर कुंजी
1. C · Cholinesterase inhibitors
2. B · Changing the subject
3. A · Waxy flexibility
4. D · दवा बदलने के घंटों के भीतर शुरू होने वाली उत्तेजना, पसीना, कंपन, अतिप्रतिवर्तता और क्लोनस
5. C · Cognitive behavioural therapy for insomnia (CBT-I)
6. C · Increased sedation and respiratory depression
7. D · A physical cause such as dental pain, an ear infection or constipation
8. C · Give the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
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