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1.Kolay
What is Russell's sign, seen in some patients with eating disorders?
AYellowing of the skin from eating a lot of carrots
BCalluses or scars on the back of the hand from inducing vomiting
CSwelling of the ankles and feet during the first days of refeeding in hospital
DFine, downy hair growing on the face and back
2.Kolay
What is anhedonia?
ARapid, pressured speech that is hard to interrupt
BAn inability to fall asleep at night despite feeling very tired during the day
CA belief that one's body is diseased or rotting
DLoss of interest or pleasure in activities that were enjoyed before
3.Kolay
Klozapinin en ciddi hematolojik riski nedir?
AYüksek trombosit
BPolisitemi
CAgranülositoz (ağır nötropeni)
DDemir yüklenmesi
4.Orta
A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?
AIt is safe in pregnancy and needs no special precautions
BIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
CIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
DIt must be taken with grapefruit juice to be absorbed
5.Orta
Ruhsal durum muayenesinde "içgörü" altında ne değerlendirilir?
AHastanın zaman ve yere yönelimi
BHastanın bir ruh sağlığı sorunu olduğunu ve yardıma ihtiyaç duyduğunu anlayıp anlamadığı
CHastanın para, yemek ve öz bakım konusunda güvenli günlük kararlar verip veremediği
DHastanın konuşma hızı
6.Orta
A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?
AIntrusion symptoms
BAvoidance
CDissociative amnesia for the trauma
DChanges in arousal and reactivity
7.Zor
Two days after surgery, a 79-year-old woman is quiet and drowsy, stares into space and gives muddled answers that vary through the day. Her daughter says she was sharp before. What is most likely?
ADepression after surgery
BAdvanced dementia
CHypoactive delirium
DNormal tiredness after anaesthesia
8.Zor
A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?
ARespect the request, join in if comfortable, and offer to call the chaplain
BTry to persuade her to adopt the nurse's own beliefs
CIgnore the request politely and change the subject to the procedure itself
DTell her that religion has no place in hospital care
Cevap anahtarı
1. B · Calluses or scars on the back of the hand from inducing vomiting
2. D · Loss of interest or pleasure in activities that were enjoyed before
3. C · Agranülositoz (ağır nötropeni)
4. B · It can seriously harm an unborn baby, so effective contraception and specialist advice are essential
5. B · Hastanın bir ruh sağlığı sorunu olduğunu ve yardıma ihtiyaç duyduğunu anlayıp anlamadığı
6. D · Changes in arousal and reactivity
7. C · Hypoactive delirium
8. A · Respect the request, join in if comfortable, and offer to call the chaplain
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